Provider Demographics
NPI:1093741647
Name:SUNSHINE THERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:SUNSHINE THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-445-1323
Mailing Address - Street 1:4601 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2308
Mailing Address - Country:US
Mailing Address - Phone:305-445-1323
Mailing Address - Fax:305-445-1324
Practice Address - Street 1:4601 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2308
Practice Address - Country:US
Practice Address - Phone:305-445-1323
Practice Address - Fax:305-445-1324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686838Medicare ID - Type UnspecifiedMED PROVIDER NUMBER