MEDICARE: SUNSHINE CHIRO 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1811204084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSHINE CHIRO CENTER

Provider Business Mailing Address
First Line	:	391 LEE BLVD
Second Line	:	SUITE 200
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936
Country	:	US
Telephone Number	:	239-303-3980
Fax Number	:	239-303-3981

Provider Business Practice Location Address
First Line	:	391 LEE BLVD
Second Line	:	SUITE 200
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33936-4973
Country	:	US
Telephone Number	:	239-303-3980
Fax Number	:	239-303-3981

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HARRIETTA CECCARELLI
Credential	:
Telephone Number	:	239-303-3980

Provider Enumeration Date	:	09/08/2010
Last Update Date	:	09/08/2010

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Directions to “SUNSHINE CHIRO CENTER ” Practice Location

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