Provider Demographics
NPI:1376998971
Name:SUNSHINE PHYSICIANS INC
Entity Type:Organization
Organization Name:SUNSHINE PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKHATIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-271-4412
Mailing Address - Street 1:1730 DUNLAWTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-8985
Mailing Address - Country:US
Mailing Address - Phone:386-271-4412
Mailing Address - Fax:386-271-4411
Practice Address - Street 1:1730 DUNLAWTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-8985
Practice Address - Country:US
Practice Address - Phone:386-271-4412
Practice Address - Fax:386-271-4411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty