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NPI Code Detail

MEDICARE: SUNSHINE PSYCHIATRIC SYSTEMS ASSOCIATES LLC

MEDICARE: SUNSHINE PSYCHIATRIC SYSTEMS ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1023561958
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE PSYCHIATRIC SYSTEMS ASSOCIATES LLC
Provider Business Mailing Address
First Line : 3185 BOUTWELL RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-2610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3185 BOUTWELL RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33461-2610
Country : US
Telephone Number : 561-533-0074
Fax Number :
Authorized Official
Title or Position : CEO
Name : JAMES AITKEN
Credential :
Telephone Number : 561-318-4455
Provider Enumeration Date : 07/27/2016
Last Update Date : 07/27/2016

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