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General NPI Number Information
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NPI Number | 1063820942
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Entity Type | Organization
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Legal Business Name | SUNSHINE PLACE THERAPY SERVICES
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 13366 SW 288TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-1927
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Country | US
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Telephone | 786-447-2132
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Fax |
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Provider Business Mailing Address
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Address Line | 18509 OTTERWOOD AVE
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City | TAMPA
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State | FL
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Zip | 33647-1834
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Country | US
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Telephone | 786-447-2132
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Fax | 786-870-1717
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Authorized Official
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Title or Position | PRESIDENT
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Name | FLORENTINO ASPILLAGA NAVARRO
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Credential | MS, OTR/L
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Telephone | 786-447-2132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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