MEDICARE: SUNSHINE MEDICAL CENTER

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	207QA0505X	Adult Medicine Physician	ME30398	FL

General Provider Information

NPI Number	:	1659436517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	6341 SUNSET DR
Second Line	:	PENTHOUSE SUITE
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4842
Country	:	US
Telephone Number	:	305-666-5971
Fax Number	:	305-777-2133

Provider Business Practice Location Address
First Line	:	6341 SUNSET DR
Second Line	:	PENTHOUSE SUITE
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-4842
Country	:	US
Telephone Number	:	305-666-5971
Fax Number	:	305-777-2133

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. ALAN K ROBERTS
Credential	:	MD
Telephone Number	:	305-666-5971

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	08/22/2020

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