Healthcare Provider Details

I. General information

NPI: 1881440238
Provider Name (Legal Business Name): SUNSHINE INFECTIOUS DISEASE & TROPICAL MEDICINE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 N UNIVERSITY DR STE 207
PEMBROKE PINES FL
33024-3617
US

IV. Provider business mailing address

2301 N UNIVERSITY DR STE 207
PEMBROKE PINES FL
33024-3617
US

V. Phone/Fax

Practice location:
  • Phone: 754-275-5527
  • Fax: 305-574-9458
Mailing address:
  • Phone: 754-275-5527
  • Fax: 305-574-9458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: PREMALKUMAR PATEL
Title or Position: MD
Credential:
Phone: 201-301-5320