Organization · NPI-2

Sunshine Health & Diagnostics LLC

Registered Nurse, General Practice · Lakeland, FL

NPI number1831778513
StatusActive
Last updated in NPPESApr 7, 2021

Details

NPI
1831778513
Entity type
Organization (NPI-2)
Legal business name
Sunshine Health & Diagnostics LLC
Organization subpart
No
Enumeration date
Apr 7, 2021
Certification date
Apr 7, 2021
Last updated
Apr 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice––Yes

Practice location

1041 W Chase St
Lakeland, FL 33815-1353

Phone 863-510-1685

Mailing address

1041 W Chase St
Lakeland, FL 33815-1353

Phone 863-510-1685

Authorized official

Mercedes Chanel Riley
Administrator
8635101685

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