Provider Demographics
NPI:1205344835
Name:SUNSHINE HEALTH SUPPLIES LLC
Entity type:Organization
Organization Name:SUNSHINE HEALTH SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVANAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-620-7032
Mailing Address - Street 1:1926 HOLLYWOOD BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4544
Mailing Address - Country:US
Mailing Address - Phone:954-620-7032
Mailing Address - Fax:954-342-9587
Practice Address - Street 1:1926 HOLLYWOOD BLVD STE 204
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:954-620-7032
Practice Address - Fax:954-342-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies