Healthcare Provider Details

I. General information

NPI: 1427867308
Provider Name (Legal Business Name): SUNSHINE PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/11/2025
Certification Date: 01/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CYPRESS POINT PKWY STE B302
PALM COAST FL
32164-8443
US

IV. Provider business mailing address

9 OLD KINGS RD STE 123 #1012
PALM COAST FL
32137
US

V. Phone/Fax

Practice location:
  • Phone: 386-230-4448
  • Fax: 386-343-7206
Mailing address:
  • Phone: 386-230-4448
  • Fax: 386-343-7206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RHONDA RICHARDSON
Title or Position: OWNER
Credential: APRN
Phone: 386-230-4448