Sunnyside Wellness

LBN: Sunnyside Wellness
Sunnyside Wellness is an health care organization with primary practice located at 7901 4Th St N Ste 300 , St Petersburg FL 33702-4399. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Sunnyside Wellness can be contacted via phone (813) 508-8187, or through Tibbetts, Courtney via phone (813) 298-9305.

Contact Information

Primary practice address
7901 4Th St N Ste 300 St Petersburg FL 33702-4399
Phone: (813) 508-8187
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tibbetts, Courtney Advanced Practice Registered Nurse (APRN)
Phone: (813) 298-9305

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1063286813
LBN Legal business name Sunnyside Wellness
DBA Doing business as
Authorized official Tibbetts, Courtney Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2023
Last updated Jan 16th, 2024 - about 11 months ago

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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