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General NPI Number Information
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NPI Number | 1144004847
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Entity Type | Organization
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Legal Business Name | SUNSHINE CARE REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 815 NW 57TH AVE STE 325
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City | MIAMI
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State | FL
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Zip | 33126-2054
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Country | US
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Telephone | 305-456-7631
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Fax |
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Provider Business Mailing Address
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Address Line | 815 NW 57TH AVE STE 325
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City | MIAMI
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State | FL
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Zip | 33126-2054
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Country | US
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Telephone | 305-456-7631
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YUNIESKY SOTO DE LA COBA
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Credential |
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Telephone | 305-456-7631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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