Provider Demographics
NPI:1659436517
Name:SUNSHINE MEDICAL CENTER
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-666-5971
Mailing Address - Street 1:6341 SUNSET DR
Mailing Address - Street 2:PENTHOUSE SUITE
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4842
Mailing Address - Country:US
Mailing Address - Phone:305-666-5971
Mailing Address - Fax:305-777-2133
Practice Address - Street 1:6341 SUNSET DR
Practice Address - Street 2:PENTHOUSE SUITE
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4842
Practice Address - Country:US
Practice Address - Phone:305-666-5971
Practice Address - Fax:305-777-2133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME30398207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL99016Medicare ID - Type UnspecifiedGROUP NUMBER