MEDICARE: SUNSHINE OBSTETRIC SPECIALISTS, M.D., 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	207VX0000X	Obstetrics Physician

General Provider Information

NPI Number	:	1629483722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE OBSTETRIC SPECIALISTS, M.D., P.A.

Provider Business Mailing Address
First Line	:	7421 CONROY WINDERMERE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7421 CONROY WINDERMERE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2758
Country	:	US
Telephone Number	:	407-506-2148
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAMA TOLAYMAT
Credential	:	M.D., M.P.H.
Telephone Number	:	407-506-2148

Provider Enumeration Date	:	06/26/2014
Last Update Date	:	06/26/2014

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