Provider Demographics
NPI:1528579703
Name:SUNSHINE THERAPISTS LLC
Entity Type:Organization
Organization Name:SUNSHINE THERAPISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:201-410-3873
Mailing Address - Street 1:7320 ANDORRA PL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4952
Mailing Address - Country:US
Mailing Address - Phone:201-410-3873
Mailing Address - Fax:
Practice Address - Street 1:7320 ANDORRA PL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-4952
Practice Address - Country:US
Practice Address - Phone:201-410-3873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14991235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty