Provider Demographics
NPI:1275284473
Name:SUNSHINE SPEECH THERAPY SERVICES
Entity Type:Organization
Organization Name:SUNSHINE SPEECH THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESI
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:813-952-7361
Mailing Address - Street 1:2200 JOHNS LAKE CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34758-2306
Mailing Address - Country:US
Mailing Address - Phone:813-952-7361
Mailing Address - Fax:
Practice Address - Street 1:2200 JOHNS LAKE CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34758-2306
Practice Address - Country:US
Practice Address - Phone:813-952-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech