Provider Demographics
NPI:1023303427
Name:SUNSHINE COMMUNITY HEALTH CENTER, INC.
Entity type:Organization
Organization Name:SUNSHINE COMMUNITY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMEUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-891-5550
Mailing Address - Street 1:1100 NE 125TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5044
Mailing Address - Country:US
Mailing Address - Phone:305-891-5550
Mailing Address - Fax:305-891-5515
Practice Address - Street 1:1100 NE 125TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5044
Practice Address - Country:US
Practice Address - Phone:305-891-5550
Practice Address - Fax:305-891-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101559208D00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty