Healthcare Provider Details

I. General information

NPI: 1073573325
Provider Name (Legal Business Name): SUNSHINE MEDICAL EQUIPMENT AND SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 SAXON BLVD
DELTONA FL
32725-3252
US

IV. Provider business mailing address

2071 SAXON BLVD
DELTONA FL
32725-3252
US

V. Phone/Fax

Practice location:
  • Phone: 386-532-7594
  • Fax: 386-532-7618
Mailing address:
  • Phone: 386-532-7594
  • Fax: 386-532-7618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1791
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number32:02615
License Number StateFL

VIII. Authorized Official

Name: MR. PABLO MEDINA
Title or Position: CEO
Credential:
Phone: 386-532-7594