MEDICARE: MRS. TELECIA SUNSHINE LMT, CPC, MMP

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	225700000X	Massage Therapist	M05790	MD
2	225700000X	Massage Therapist	MA90478	FL

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	:	1700374618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TELECIA SUNSHINE LMT, CPC, MMP

Provider Business Mailing Address
First Line	:	1720 W FAIRFIELD DR STE 302
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-1057
Country	:	US
Telephone Number	:	850-207-7599
Fax Number	:	850-788-4886

Provider Business Practice Location Address
First Line	:	1720 W FAIRFIELD DR STE 302
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32501-1057
Country	:	US
Telephone Number	:	850-207-7599
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	01/05/2026

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Directions to “ MRS. TELECIA SUNSHINE LMT, CPC, MMP” Practice Location

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