Provider Demographics
NPI:1437391265
Name:SUNSHINE ORTHOPAEDICS ASSOCIATES, INC.
Entity Type:Organization
Organization Name:SUNSHINE ORTHOPAEDICS ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-567-6157
Mailing Address - Street 1:14010 21ST ST
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-3915
Mailing Address - Country:US
Mailing Address - Phone:352-567-6157
Mailing Address - Fax:352-567-6152
Practice Address - Street 1:14010 21ST ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3915
Practice Address - Country:US
Practice Address - Phone:352-567-6157
Practice Address - Fax:352-567-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME32998207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty