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NPI Code Detail

MEDICARE: SUNSHINE REHABILITATION CENTER OF INDIAN RIVER COUNTY, INC.

MEDICARE: SUNSHINE REHABILITATION CENTER OF INDIAN RIVER COUNTY, INC.
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
1261QR0400XRehabilitation Clinic/CenterEXEMPTION # HCC26FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1R049OTHERFLBC/BS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740267814
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE REHABILITATION CENTER OF INDIAN RIVER COUNTY, INC.
Provider Business Mailing 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 : 772-562-3153
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 : 772-562-3153
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : MRS. KATRENA MCMAHAN
Credential :
Telephone Number : 772-562-6877
Provider Enumeration Date : 12/29/2005
Last Update Date : 05/24/2024

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1275697146 — MR. FRANCIS PAPINEAU OT
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1861558355 — MRS. MICHELLE LYNN DORFMAN MSOTR
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1851570840 — MRS. SUSANNA ELIZABETH DUFFANY PTA
Practice Location Address:
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Directions to “SUNSHINE REHABILITATION CENTER OF INDIAN RIVER COUNTY, INC. ” Practice Location

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