Provider Demographics
NPI:1982142915
Name:SUNSHINE DIALYSIS CARE CENTERS,INC.
Entity Type:Organization
Organization Name:SUNSHINE DIALYSIS CARE CENTERS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:VERBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-318-3169
Mailing Address - Street 1:2900 BROADWAY
Mailing Address - Street 2:SUITE 3004
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-2320
Mailing Address - Country:US
Mailing Address - Phone:305-318-3169
Mailing Address - Fax:305-623-7880
Practice Address - Street 1:2900 BROADWAY
Practice Address - Street 2:SUITE 3004
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-2320
Practice Address - Country:US
Practice Address - Phone:305-318-3169
Practice Address - Fax:305-623-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QE0700X261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment