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NPI Code Detail

MEDICARE: SUNSHINE REHAB SERVICES, INC.

MEDICARE: SUNSHINE REHAB SERVICES, 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/CenterPT4005FL

General Provider Information

NPI Number : 1770622623
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE REHAB SERVICES, INC.
Provider Business Mailing Address
First Line : 2115 SW 8TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-3319
Country : US
Telephone Number : 305-649-4616
Fax Number : 305-649-3601
Provider Business Practice Location Address
First Line : 2115 SW 8TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33135-3319
Country : US
Telephone Number : 305-649-4616
Fax Number : 305-649-3601
Authorized Official
Title or Position : ADMINISTRATOR
Name : EARL NOTTAGE
Credential : PTA
Telephone Number : 305-649-4616
Provider Enumeration Date : 02/06/2007
Last Update Date : 08/22/2020

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Directions to “SUNSHINE REHAB SERVICES, INC. ” Practice Location

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