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NPI Code Detail

MEDICARE: SUNSHINE HEALING ARTS, LLC

MEDICARE: SUNSHINE HEALING ARTS, LLC
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
1171100000XAcupuncturistAP2864FL

General Provider Information

NPI Number : 1902185895
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSHINE HEALING ARTS, LLC
Provider Business Mailing Address
First Line : 5121 BOWDEN RD
Second Line : #308
City : JACKSONVILLE
State : FL
Zip : 32216-5961
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5121 BOWDEN RD
Second Line : #308
City : JACKSONVILLE
State : FL
Zip : 32216-5961
Country : US
Telephone Number : 904-437-4123
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBIN M DOUGLAS
Credential : AP
Telephone Number : 904-437-4123
Provider Enumeration Date : 08/09/2011
Last Update Date : 08/09/2011

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