Sunshine Family Healthcare, Llc

LBN: Sunshine Family Healthcare, Llc
Sunshine Family Healthcare, Llc is an health care organization with primary practice located at 21 Hospital Dr Ste 280 , Palm Coast FL 32164-2456. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Sunshine Family Healthcare, Llc can be contacted via phone (386) 986-6808, or through Leventhal, Jerry Dale via phone (386) 986-6808.

Contact Information

Primary practice address
21 Hospital Dr Ste 280 Palm Coast FL 32164-2456
Fax: (386) 986-6818
Website:
Authorized official contact:
Name: Leventhal, Jerry Dale Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Florida

Profile Details

NPI number 1235174095
LBN Legal business name Sunshine Family Healthcare, Llc
DBA Doing business as
Authorized official Leventhal, Jerry Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Apr 12th, 2021 - about 3 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235174095 NPPES
Florida MEDICAID 300519400
Florida MEDICAID 15598000

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