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NPI Code Detail

MEDICARE: SUNSHINE PHYSICAL THERAPY CLINIC

MEDICARE: SUNSHINE PHYSICAL THERAPY CLINIC
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
1174400000XSpecialist10948FL

General Provider Information

NPI Number : 1649344060
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE PHYSICAL THERAPY CLINIC
Provider Business Mailing Address
First Line : 2975 PIEDMONT PL SW
Second Line :
City : VERO BEACH
State : FL
Zip : 32968-5091
Country : US
Telephone Number : 772-564-6141
Fax Number : 772-564-6141
Provider Business Practice Location Address
First Line : 1705 17TH AVE
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-3641
Country : US
Telephone Number : 772-562-6877
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : MRS. MICHELLE LYNN DORFMAN
Credential : OTR
Telephone Number : 772-562-6877
Provider Enumeration Date : 11/17/2006
Last Update Date : 08/22/2020

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Directions to “SUNSHINE PHYSICAL THERAPY CLINIC ” Practice Location

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