Sunshine Medical Specialists, LLC
Pediatrics, Pediatric Endocrinology in Jacksonville, FL. Organization (NPI-2).
NPI number1336780907
StatusActive
Last updated in NPPESApr 1, 2020
Details
- NPI
- 1336780907
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunshine Medical Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2019
- Certification date
- Apr 1, 2020
- Last updated
- Apr 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0205X | Pediatrics, Pediatric Endocrinology | – | – | Yes |
Other names
- Sunshine Medical Specialists, LLC (Doing Business As)
Practice location
10175 Fortune PkwyJacksonville, FL 32256-6746
Phone 904-533-6868
Mailing address
1334 N Kyle WaySaint Johns, FL 32259-1927
Phone 904-533-6868 · Fax 904-770-4003
Authorized official
Thanh Nguyen
Owner
9045336868
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