MEDICARE: SUNSHINE SPECIALTY HEALTH CARE, 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
1	207RI0200X	Infectious Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043986979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE SPECIALTY HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	407-888-5980
Fax Number	:	407-888-2492

Provider Business Practice Location Address
First Line	:	1727 ORLANDO CENTRAL PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-5732
Country	:	US
Telephone Number	:	407-888-5980
Fax Number	:	407-888-2492

Authorized Official
Title or Position	:	CEO
Name	:	JILLIAN HALL
Credential	:
Telephone Number	:	407-888-5980

Provider Enumeration Date	:	08/19/2021
Last Update Date	:	01/27/2025

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