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General NPI Number Information
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NPI Number | 1245495746
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Entity Type | Organization
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Legal Business Name | SUNSHINE MEDICAL AND CHIROPRACTIC CARE INC,.
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 3500 N STATE ROAD 7 SUITE 211
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5625
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Country | US
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Telephone | 954-766-4233
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Fax | 954-306-2056
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Provider Business Mailing Address
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Address Line | 3500 N STATE ROAD 7 SUITE 211
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5625
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Country | US
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Telephone | 954-766-4233
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Fax | 954-306-2056
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Authorized Official
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Title or Position | MEDICAL DOCTOR/OWNER
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Name | DR. EMMANUEL ELOI
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Credential | M.D
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Telephone | 954-766-4233
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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 | ME70457
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License Number State | FL
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