Provider Demographics
NPI:1194959072
Name:SUNSTATE NURSING SERVICES, P.A.
Entity type:Organization
Organization Name:SUNSTATE NURSING SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:GUGGENHEIMER
Authorized Official - Last Name:URIBE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-317-4454
Mailing Address - Street 1:2124 SW 102ND TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3254
Mailing Address - Country:US
Mailing Address - Phone:352-317-4454
Mailing Address - Fax:
Practice Address - Street 1:2124 SW 102ND TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3254
Practice Address - Country:US
Practice Address - Phone:352-317-4454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLP07000011034251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care