Healthcare Provider Details

I. General information

NPI: 1104699149
Provider Name (Legal Business Name): SUNNY STEPS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5579 LIBERTY LN
LOXAHATCHEE FL
33470-7072
US

IV. Provider business mailing address

5579 LIBERTY LN
LOXAHATCHEE FL
33470-7072
US

V. Phone/Fax

Practice location:
  • Phone: 561-292-0233
  • Fax: 561-448-0097
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAINA RIVERA
Title or Position: OWNER
Credential: COTA/L
Phone: 401-368-0511