Provider Demographics
NPI:1679235352
Name:SUNSHINE ANKLE AND FOOT EXPERTS PLLC
Entity Type:Organization
Organization Name:SUNSHINE ANKLE AND FOOT EXPERTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARBASI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:617-758-9919
Mailing Address - Street 1:3701 AVALON PARK WEST BLVD STE 225
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7303
Mailing Address - Country:US
Mailing Address - Phone:407-863-3655
Mailing Address - Fax:321-248-3763
Practice Address - Street 1:3701 AVALON PARK WEST BLVD STE 225
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7303
Practice Address - Country:US
Practice Address - Phone:407-863-3655
Practice Address - Fax:321-248-3763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-09
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty