Provider Demographics
NPI:1780009548
Name:SUNSHINE PULMONARY AND SLEEP MEDICINE P.A.
Entity Type:Organization
Organization Name:SUNSHINE PULMONARY AND SLEEP MEDICINE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIVYANG
Authorized Official - Middle Name:P
Authorized Official - Last Name:SORATHIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-425-5826
Mailing Address - Street 1:500 VONDERBURG DR
Mailing Address - Street 2:EAST TOWER, SUITE 201 E
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5964
Mailing Address - Country:US
Mailing Address - Phone:813-425-5826
Mailing Address - Fax:
Practice Address - Street 1:500 VONDERBURG DR
Practice Address - Street 2:EAST TOWER, SUITE 201 E
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5964
Practice Address - Country:US
Practice Address - Phone:813-425-5826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID