Healthcare Provider Details

I. General information

NPI: 1215232327
Provider Name (Legal Business Name): SUNSHINE PLANTS OTR, CLT, CLVT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 03/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1338 NW 13TH ST
GAINESVILLE FL
32601-4108
US

IV. Provider business mailing address

1338 NW 13TH ST
GAINESVILLE FL
32601-4108
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-5004
  • Fax: 352-224-5234
Mailing address:
  • Phone: 352-224-5004
  • Fax: 352-224-5234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT2757
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT2757
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberOT2757
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT2757
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOT2757
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT2757
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT2757
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: