MEDICARE: SUNFLOWER CLINIC, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1154262400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER CLINIC, P.A.

Provider Business Mailing Address
First Line	:	4322 BUCKINGHAM RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-6220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4322 BUCKINGHAM RD
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48073-6220
Country	:	US
Telephone Number	:	717-208-2889
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DANIEL MONTVILLE
Credential	:	MD
Telephone Number	:	305-894-6614

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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