Provider Demographics
NPI:1578549572
Name:SUNSHINE MEDICAL GROUP,PA
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL GROUP,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AZULAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-478-5926
Mailing Address - Street 1:8362 PINES BLVD
Mailing Address - Street 2:#190
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-6600
Mailing Address - Country:US
Mailing Address - Phone:954-478-5926
Mailing Address - Fax:877-866-9298
Practice Address - Street 1:8362 PINES BLVD
Practice Address - Street 2:#190
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6600
Practice Address - Country:US
Practice Address - Phone:954-478-5926
Practice Address - Fax:877-866-9298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty