Provider Demographics
NPI:1700217593
Name:SUNSHINE SPINAL CENTER
Entity Type:Organization
Organization Name:SUNSHINE SPINAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-849-3890
Mailing Address - Street 1:18520 NW 67TH AVE
Mailing Address - Street 2:278
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3304 US HIGHWAY 80 WEST
Practice Address - Street 2:B-1
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36870
Practice Address - Country:UM
Practice Address - Phone:334-297-3335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty