Provider Demographics
NPI:1427867308
Name:SUNSHINE PSYCHIATRIC CARE LLC
Entity type:Organization
Organization Name:SUNSHINE PSYCHIATRIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:386-230-4448
Mailing Address - Street 1:9 OLD KINGS RD
Mailing Address - Street 2:STE 123 #1012
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137
Mailing Address - Country:US
Mailing Address - Phone:386-230-4448
Mailing Address - Fax:386-343-7206
Practice Address - Street 1:160 CYPRESS POINT PKWY STE B302
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8443
Practice Address - Country:US
Practice Address - Phone:386-230-4448
Practice Address - Fax:386-343-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty