Provider Demographics
NPI:1629719992
Name:SUNSET COMMUNITY SERVICES, LLC
Entity Type:Organization
Organization Name:SUNSET COMMUNITY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-368-5738
Mailing Address - Street 1:PO BOX 262972
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33685-2972
Mailing Address - Country:US
Mailing Address - Phone:813-397-9782
Mailing Address - Fax:
Practice Address - Street 1:3214 W TAMPA BAY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6616
Practice Address - Country:US
Practice Address - Phone:813-397-9782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health