Provider Demographics
NPI:1326101171
Name:WILLIAM SUNSHINE MD PA
Entity Type:Organization
Organization Name:WILLIAM SUNSHINE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SUNSHINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-862-0401
Mailing Address - Street 1:1905 CLINT MOORE RD
Mailing Address - Street 2:STE 308
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2658
Mailing Address - Country:US
Mailing Address - Phone:561-862-0401
Mailing Address - Fax:561-862-0402
Practice Address - Street 1:1905 CLINT MOORE RD
Practice Address - Street 2:STE 308
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2658
Practice Address - Country:US
Practice Address - Phone:561-862-0401
Practice Address - Fax:561-862-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL167422769207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8721Medicare ID - Type UnspecifiedPROVIDER NUMBER