MEDICARE: SUNSHINE MOBILE PHLEBOTOMY 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	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1821800673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE MOBILE PHLEBOTOMY LLC

Provider Business Mailing Address
First Line	:	3500 POSNER BLVD # 1214
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-3640
Country	:	US
Telephone Number	:	352-749-1661
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 NW 33RD TER
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33311-1116
Country	:	US
Telephone Number	:	352-749-1661
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RASHMI ROSE THOMPSON
Credential	:
Telephone Number	:	689-407-6243

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	01/23/2025

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