Provider Demographics
NPI:1780910968
Name:SUNSHINE SOCIAL SERVICES, INC.
Entity type:Organization
Organization Name:SUNSHINE SOCIAL SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:954-764-5150
Mailing Address - Street 1:1480 SW 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1375
Mailing Address - Country:US
Mailing Address - Phone:954-764-5150
Mailing Address - Fax:954-764-5143
Practice Address - Street 1:1480 SW 9TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-1375
Practice Address - Country:US
Practice Address - Phone:954-764-5150
Practice Address - Fax:954-764-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-23
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7969101YM0800X
FLSW60371041C0700X
FLSW90611041C0700X
FLSW79431041C0700X
FL9013385H00000X
FLN/A251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care