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General NPI Number Information
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NPI Number | 1578423406
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Entity Type | Organization
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Legal Business Name | SUNSHINE RADIOLOGY CONTRACTING LLC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 8791 CONFERENCE DR STE 100
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City | FORT MYERS
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State | FL
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Zip | 33919-5822
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Country | US
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Telephone | 239-331-5566
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Fax | 239-437-7499
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Provider Business Mailing Address
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Address Line | 8791 CONFERENCE DR STE 100
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City | FORT MYERS
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State | FL
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Zip | 33919-5822
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Country | US
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Telephone | 239-331-5566
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Fax | 239-437-7499
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Authorized Official
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Title or Position | DIRECTOR/MANAGER
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Name | DR. JAMAL KSAR
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Credential | MD
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Telephone | 734-276-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology 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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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