Sun Miracle Wellness Center Llc

LBN: Sun Miracle Wellness Center Llc
Sun Miracle Wellness Center Llc is an health care organization with primary practice located at 13575 58Th St N Ste 200 , Clearwater FL 33760-3739. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Sun Miracle Wellness Center Llc can be contacted via phone (727) 741-8475, or through Davis, Shanta K via phone (727) 741-8475.

Contact Information

Primary practice address
13575 58Th St N Ste 200 Clearwater FL 33760-3739
Phone: (727) 741-8475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Shanta K AGNP-C
Phone: (727) 741-8475

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1164130613
LBN Legal business name Sun Miracle Wellness Center Llc
DBA Doing business as
Authorized official Davis, Shanta K AGNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2022
Last updated Sep 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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