Healthcare Provider Details

I. General information

NPI: 1063939593
Provider Name (Legal Business Name): SUNSHINE PEDIATRIC ANESTHESIA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10080 BALAYE RUN DR
TAMPA FL
33619-7902
US

IV. Provider business mailing address

10080 BALAYE RUN DR
TAMPA FL
33619-7902
US

V. Phone/Fax

Practice location:
  • Phone: 813-287-5718
  • Fax: 813-287-5728
Mailing address:
  • Phone: 813-287-5718
  • Fax: 813-287-5728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIE D YARNELL
Title or Position: OWNER
Credential: MD
Phone: 501-766-2005