Provider Demographics
NPI:1609532498
Name:SUNSHINE FAMILY & WELLNESS CENTER
Entity Type:Organization
Organization Name:SUNSHINE FAMILY & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALESKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-942-1727
Mailing Address - Street 1:1001 W CHERRY ST STE A
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4111
Mailing Address - Country:US
Mailing Address - Phone:407-360-9160
Mailing Address - Fax:407-360-9146
Practice Address - Street 1:1001 W CHERRY ST STE A
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4111
Practice Address - Country:US
Practice Address - Phone:407-360-9160
Practice Address - Fax:407-360-9146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care