Healthcare Provider Details

I. General information

NPI: 1023303427
Provider Name (Legal Business Name): SUNSHINE COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 06/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 NE 125TH ST SUITE 100
NORTH MIAMI FL
33161-5044
US

IV. Provider business mailing address

1100 NE 125TH ST SUITE 100
NORTH MIAMI FL
33161-5044
US

V. Phone/Fax

Practice location:
  • Phone: 305-891-5550
  • Fax: 305-891-5515
Mailing address:
  • Phone: 305-891-5550
  • Fax: 305-891-5515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME101559
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME101559
License Number StateFL

VIII. Authorized Official

Name: DR. PATRICK ROMEUS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-891-5550