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General NPI Number Information
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NPI Number | 1518823509
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Entity Type | Organization
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Legal Business Name | SUNSHINE CLINIC LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 5941 BERRYHILL RD STE E
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City | MILTON
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State | FL
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Zip | 32570-4043
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Country | US
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Telephone | 850-376-3193
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Fax | 850-396-0206
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Provider Business Mailing Address
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Address Line | 1940 CATAMARAN DR
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City | NAVARRE
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State | FL
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Zip | 32566-2114
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Country | US
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Telephone | 850-376-3193
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Fax | 850-396-0206
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Authorized Official
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Title or Position | OWNER
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Name | LIDIA NENCIU
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Credential | APRN
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Telephone | 850-374-7279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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