Provider Demographics
NPI:1508106931
Name:SUNSHINE FAMILY MEDICINE LLC
Entity Type:Organization
Organization Name:SUNSHINE FAMILY MEDICINE LLC
Other - Org Name:CREATIONS MEDICAL SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-628-0909
Mailing Address - Street 1:4 ROCKWELL LN
Mailing Address - Street 2:
Mailing Address - City:WOODSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08098-1362
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 ROCKWELL LN
Practice Address - Street 2:
Practice Address - City:WOODSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08098-1362
Practice Address - Country:US
Practice Address - Phone:856-628-0909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty