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SUNSHINE PEDIATRIC CLINIC PA NPI 1811396419


NPI Information

NPI: 1811396419
Provider Name: SUNSHINE PEDIATRIC CLINIC PA

Doing Business As: SUNSHINE PEDIATRIC CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1973 SW SAVAGE BLVD
SUITE 205
PORT ST LUCIE, FL
ZIP 34953
Phone: (772) 446-7800
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SUNSHINE PEDIATRIC CLINIC PA is a pediatrics in Port St Lucie, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUNSHINE PEDIATRIC CLINIC PA NPI is 1811396419. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunshine Pediatric Clinic.

The provider's business location address is:

1973 SW SAVAGE BLVD
SUITE 205
PORT ST LUCIE, FL
ZIP 34953-791
Phone: (772) 446-7800
Fax: (772) 446-7891

The provider's authorized official is Kabir Ahmed .
The authorized official title is President and has the following contact phone number (772) 446-7800.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME85827FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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