Provider Demographics
NPI:1104128784
Name:SUNSHINE HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:SUNSHINE HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:MADDUX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-881-3294
Mailing Address - Street 1:8362 PINES BLVD
Mailing Address - Street 2:181
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6600
Mailing Address - Country:US
Mailing Address - Phone:954-881-3294
Mailing Address - Fax:888-398-0719
Practice Address - Street 1:8362 PINES BLVD
Practice Address - Street 2:181
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6600
Practice Address - Country:US
Practice Address - Phone:954-881-3294
Practice Address - Fax:888-398-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381117400Medicaid
FL381117400Medicaid
FLU53392Medicare UPIN