Provider Demographics
NPI:1407026891
Name:SUNSHINE MEDICAL SUPPLIES, INC
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANSOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-642-6414
Mailing Address - Street 1:304 AIKEN AVENUE UNIT C
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21903
Mailing Address - Country:US
Mailing Address - Phone:410-642-6414
Mailing Address - Fax:410-642-6414
Practice Address - Street 1:304 AIKEN AVENUE UNIT C
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MD
Practice Address - Zip Code:21903
Practice Address - Country:US
Practice Address - Phone:410-642-6414
Practice Address - Fax:410-642-6414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies