MEDICARE: SUNSHINE ADULT DAY CARE, INC

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	261QA0600X	Adult Day Care Clinic/Center		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184019754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE ADULT DAY CARE, INC

Provider Business Mailing Address
First Line	:	6626 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4704
Country	:	US
Telephone Number	:	813-605-3374
Fax Number	:

Provider Business Practice Location Address
First Line	:	6626 HANLEY RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-4704
Country	:	US
Telephone Number	:	813-605-3374
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JUAN CARLOS CRUZ
Credential	:
Telephone Number	:	813-605-3374

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	05/16/2023

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Directions to “SUNSHINE ADULT DAY CARE, INC ” Practice Location

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