Provider Demographics
NPI:1386971588
Name:SUNSHINE MEDICAL CARE GROUP INC
Entity type:Organization
Organization Name:SUNSHINE MEDICAL CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIETTE
Authorized Official - Middle Name:ANAIS
Authorized Official - Last Name:TAMAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-286-1066
Mailing Address - Street 1:3990 W FLAGLER ST
Mailing Address - Street 2:SUITE # 406
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-456-3879
Mailing Address - Fax:305-200-5761
Practice Address - Street 1:3990 W FLAGLER ST
Practice Address - Street 2:SUITE # 406
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-456-3879
Practice Address - Fax:305-200-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC10107261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center