MEDICARE: SACRED SUNFLOWER WELLNESS SOLUTIONS, 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	171400000X	Health & Wellness Coach
2	374J00000X	Doula

General Provider Information

NPI Number	:	1982424339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SACRED SUNFLOWER WELLNESS SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	1440 SW HOLIDAY ST
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-4218
Country	:	US
Telephone Number	:	863-993-5989
Fax Number	:

Provider Business Practice Location Address
First Line	:	1440 SW HOLIDAY ST
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-4218
Country	:	US
Telephone Number	:	863-993-5989
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SOPHIA V ANTOINE
Credential	:
Telephone Number	:	863-993-5989

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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