Provider Demographics
NPI:1760967954
Name:SUNSHINE ACUPUNCTURE CENTER
Entity Type:Organization
Organization Name:SUNSHINE ACUPUNCTURE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUANSU
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:727-797-1161
Mailing Address - Street 1:1811 N BELCHER RD STE H4
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1433
Mailing Address - Country:US
Mailing Address - Phone:727-797-1161
Mailing Address - Fax:
Practice Address - Street 1:1811 N BELCHER RD STE H4
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-1433
Practice Address - Country:US
Practice Address - Phone:727-797-1161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty