Provider Demographics
NPI:1811204084
Name:SUNSHINE CHIRO CENTER
Entity Type:Organization
Organization Name:SUNSHINE CHIRO CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:CECCARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-303-3980
Mailing Address - Street 1:391 LEE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936
Mailing Address - Country:US
Mailing Address - Phone:239-303-3980
Mailing Address - Fax:239-303-3981
Practice Address - Street 1:391 LEE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-4973
Practice Address - Country:US
Practice Address - Phone:239-303-3980
Practice Address - Fax:239-303-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center