Healthcare Provider Details

I. General information

NPI: 1598695249
Provider Name (Legal Business Name): SUNSHINE EXCELLENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3049 CLEVELAND AVE STE 220
FORT MYERS FL
33901-7045
US

IV. Provider business mailing address

3049 CLEVELAND AVE STE 220
FORT MYERS FL
33901-7045
US

V. Phone/Fax

Practice location:
  • Phone: 239-789-1846
  • Fax: 239-512-4395
Mailing address:
  • Phone: 239-789-1846
  • Fax: 239-512-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEINYS BARBARA MADRUGA CASANOVA
Title or Position: OWNER
Credential:
Phone: 239-491-2753