MEDICARE: SUNSHINE CLINIC 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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1518823509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE CLINIC LLC

Provider Business Mailing Address
First Line	:	1940 CATAMARAN DR
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-2114
Country	:	US
Telephone Number	:	850-376-3193
Fax Number	:	850-396-0206

Provider Business Practice Location Address
First Line	:	5941 BERRYHILL RD STE E
Second Line	:
City	:	MILTON
State	:	FL
Zip	:	32570-4043
Country	:	US
Telephone Number	:	850-376-3193
Fax Number	:	850-396-0206

Authorized Official
Title or Position	:	OWNER
Name	:	LIDIA NENCIU
Credential	:	APRN
Telephone Number	:	850-374-7279

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “SUNSHINE CLINIC LLC ” Practice Location

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