Healthcare Provider Details

I. General information

NPI: 1083852545
Provider Name (Legal Business Name): SUNSHINE MEDICAL AT PALM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2009
Last Update Date: 05/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 9TH ST N
NAPLES FL
34102-5806
US

IV. Provider business mailing address

411 9TH ST N
NAPLES FL
34102-5806
US

V. Phone/Fax

Practice location:
  • Phone: 239-262-6592
  • Fax: 239-262-8663
Mailing address:
  • Phone: 239-262-6592
  • Fax: 239-262-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DEL PARRISH
Title or Position: OWNER
Credential: RPH
Phone: 239-262-6592