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Organization

SUNSHINE STATE FAMILY CARE PA

Active
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Organization

SUNSHINE STATE FAMILY CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MONICA RIVERA-AMILL MD (PRESIDENT)
(813) 631-9396
Entity
Organization

Contact information

Practice address
16144 CHURCHVIEW DR, BUILDING A, SUITE 109, LITHIA, FL 33547-3851
(813) 631-9396
Mailing address
16144 CHURCHVIEW DR, BUILDING A, SUITE 109, LITHIA, FL 33547-3851
(813) 631-9396

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105665
FL

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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