Organization Name: | SUNSHINE MEDICAL & THERAPY CENTER P.A |
NPI Number: | 1861734766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH FRANCOIS (CEO) |
Mailing Address: | 1015 W Main St Immokalee |
State: | FL US |
Postal Code: | 341423631 |
Phone Number: | 2396572979 |
Fax Number: | 2396573222 |
NPI Enumeration Date: | 03/19/2013 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | OS 8453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |