Provider Demographics
NPI:1558117069
Name:PL SUNSHINE MEDICAL EQUIPMENT & SUPPLY INC
Entity type:Organization
Organization Name:PL SUNSHINE MEDICAL EQUIPMENT & SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:SANCHEZ BENITEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:645-333-1434
Mailing Address - Street 1:1926 HOLLYWOOD BLVD STE 216B
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4538
Mailing Address - Country:US
Mailing Address - Phone:954-399-9235
Mailing Address - Fax:
Practice Address - Street 1:1926 HOLLYWOOD BLVD STE 216B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4538
Practice Address - Country:US
Practice Address - Phone:954-399-9235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice