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NPI Code Detail

MEDICARE: SUNSHINE MEDICAL CENTER LLC

MEDICARE: SUNSHINE MEDICAL CENTER 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
1174400000XSpecialistME76860FL

General Provider Information

NPI Number : 1770653107
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : 5937 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2504
Country : US
Telephone Number : 941-918-2011
Fax Number : 941-918-2046
Provider Business Practice Location Address
First Line : 5937 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2504
Country : US
Telephone Number : 941-918-2011
Fax Number : 941-918-2046
Authorized Official
Title or Position : PRESIDENT
Name : DR. SOORDAL O PRAKASH
Credential : MD
Telephone Number : 941-918-2011
Provider Enumeration Date : 11/09/2006
Last Update Date : 10/19/2022

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Directions to “SUNSHINE MEDICAL CENTER LLC ” Practice Location

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