Healthcare Provider Details

I. General information

NPI: 1720205644
Provider Name (Legal Business Name): SUNSHINE CHIROPRACTIC LIFE CENTRE SILVERLAKES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8543 NW 186TH ST
HIALEAH FL
33015-2557
US

IV. Provider business mailing address

18215 PINES BLVD
PEMBROKE PINES FL
33029-1417
US

V. Phone/Fax

Practice location:
  • Phone: 305-829-2355
  • Fax: 305-829-2231
Mailing address:
  • Phone: 954-433-5700
  • Fax: 954-433-5711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH0005878
License Number StateFL

VIII. Authorized Official

Name: DR. WILLIAM EDWARD YOHAM II
Title or Position: CHIROPRACTIC
Credential: D.C.
Phone: 954-433-5700