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NPI Code Detail

MEDICARE: SUNSHINE PEDIATRICS

MEDICARE: SUNSHINE PEDIATRICS
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
12080A0000XPediatric Adolescent Medicine Physician

Other Identifiers

General Provider Information

NPI Number : 1386689057
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE PEDIATRICS
Provider Business Mailing Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Provider Business Practice Location Address
First Line : 185 CROSSVILLE ST
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6586
Country : US
Telephone Number : 850-478-5440
Fax Number : 850-478-5447
Authorized Official
Title or Position : PROVIDER/OWNER
Name : RAFAH AFLAK
Credential : M.D.
Telephone Number : 850-478-5440
Provider Enumeration Date : 06/18/2006
Last Update Date : 05/13/2008

Similar Medicare Providers

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Practice Location Address:
185 CROSSVILLE ST
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Practice Location Address:
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Directions to “SUNSHINE PEDIATRICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.