Healthcare Provider Details

I. General information

NPI: 1609166677
Provider Name (Legal Business Name): SUNLIGHT PHYSICIANS GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2011
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S FEDERAL HWY STE 6
DEERFIELD BEACH FL
33441-4109
US

IV. Provider business mailing address

505 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4100
US

V. Phone/Fax

Practice location:
  • Phone: 954-421-6242
  • Fax:
Mailing address:
  • Phone: 954-421-6242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SONYA MUKHERJEE
Title or Position: DIRECTOR OF RCM
Credential:
Phone: 772-267-4935