Provider Demographics
NPI:1912202714
Name:SUNSHINE MEDICAL NETWORK
Entity Type:Organization
Organization Name:SUNSHINE MEDICAL NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYNA
Authorized Official - Middle Name:NIKOLAYEVNA
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-504-6183
Mailing Address - Street 1:5341 RUBY LN
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-6225
Mailing Address - Country:US
Mailing Address - Phone:941-504-6183
Mailing Address - Fax:941-922-6571
Practice Address - Street 1:5341 RUBY LN
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-6225
Practice Address - Country:US
Practice Address - Phone:941-504-6183
Practice Address - Fax:941-922-6571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME106791208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty