MEDICARE: SUNNY DAYS OF PALM BEACH CMHC 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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	HCC6233	FL

General Provider Information

NPI Number	:	1821033218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY DAYS OF PALM BEACH CMHC INC

Provider Business Mailing Address
First Line	:	2226 W ATLANTIC AVE
Second Line	:	SUITE W
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4637
Country	:	US
Telephone Number	:	561-274-2066
Fax Number	:	561-274-2125

Provider Business Practice Location Address
First Line	:	2226 W ATLANTIC AVE
Second Line	:	SUITE W
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4637
Country	:	US
Telephone Number	:	561-274-2066
Fax Number	:	561-274-2125

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. HUGO PRADERA
Credential	:
Telephone Number	:	561-274-2066

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/22/2020

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