MEDICARE: SUNSHINE STATE MOBILE HEALTH SERVICES LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1326918723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE STATE MOBILE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	4334 N FLAGLER DR UNIT 1206
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-0029
Country	:	US
Telephone Number	:	307-241-6004
Fax Number	:	307-241-6004

Provider Business Practice Location Address
First Line	:	4334 N FLAGLER DR UNIT 1206
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-0029
Country	:	US
Telephone Number	:	307-241-6004
Fax Number	:	307-241-6004

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MADISON SHAW
Credential	:	APRN, FNP-C
Telephone Number	:	307-241-6004

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1790022200 — CANDACE LYNN-ESCHLER HOAG M.S. ED, CCC-SLP
Practice Location Address:

20 WEST STREET
MORRIS, NY
13808-0029

Practice Phone: 607-263-2611
Practice Fax:

1194164269 — KATHERINE DELORES MAYNARD ARNP
Practice Location Address:

95186 SNAPDRAGON DR
FERNANDINA BEACH, FL
32034-0029

Practice Phone: 904-327-7096
Practice Fax:

1598215345 — MELISSA MARCUS PH.D. PLC
Practice Location Address:

8309 BANPO BRIDGE WAY
DELRAY BEACH, FL
33446-0029

Practice Phone: 561-906-3691
Practice Fax:

1043088560 — RYAN RAFFA
Practice Location Address:

8301 BANPO BRIDGE WAY
DELRAY BEACH, FL
33446-0029

Practice Phone: 561-414-7926
Practice Fax:

1326997057 — ENLIVE HEALTH SOLUTIONS LLC
Practice Location Address:

801 NORTHPOINT PKWY STE 59
WEST PALM BEACH, FL
33407-1994

Practice Phone: 561-312-1745
Practice Fax:

Directions to “SUNSHINE STATE MOBILE HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.