Provider Demographics
NPI:1184596124
Name:SUNSHINE SOUL CARE CORP
Entity type:Organization
Organization Name:SUNSHINE SOUL CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERAZA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-PMHNP
Authorized Official - Phone:786-278-6544
Mailing Address - Street 1:10626 SW 69TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1385
Mailing Address - Country:US
Mailing Address - Phone:305-335-5843
Mailing Address - Fax:305-330-9161
Practice Address - Street 1:3105 NW 107TH AVE STE 400-B9
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-2185
Practice Address - Country:US
Practice Address - Phone:305-335-5843
Practice Address - Fax:305-330-9161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty