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General NPI Number Information
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NPI Number | 1316681034
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Entity Type | Organization
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Legal Business Name | SUNSHINE SPINE AND PAIN SPECIALISTS PLLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD BUILDING C UNIT A
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City | SARASOTA
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State | FL
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Zip | 34233
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Country | US
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Telephone | 941-867-7463
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Fax | 941-870-3839
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD BUILDING C UNIT A
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City | SARASOTA
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State | FL
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Zip | 34233
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Country | US
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Telephone | 941-867-7463
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Fax | 941-870-3839
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | PETER FERNANDEZ
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Credential | MD
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Telephone | 336-406-5795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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