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General NPI Number Information
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NPI Number | 1942054689
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Entity Type | Organization
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Legal Business Name | SUNSHINE FOOT AND ANKLE LLC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2951 NW 49TH AVE STE 204
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1608
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Country | US
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Telephone | 754-296-5900
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Fax | 754-296-5901
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Provider Business Mailing Address
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Address Line | 2951 NW 49TH AVE STE 204
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1608
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Country | US
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Telephone | 754-296-5900
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Fax | 754-296-5901
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN MOLLINEDA
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Credential | DPM
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Telephone | 786-566-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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