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Organization
SUNSHINE THERAPY CENTER, INC.
Active
Organization
SUNSHINE THERAPY CENTER, INC.
Active
Other names
Comprehensive Therapy Center of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS THOMPSON PT (PRESIDENT)
(904) 448-5075
Entity
Organization
Contact information
Practice address
6320 SAINT AUGUSTINE RD, UNIT 1, JACKSONVILLE, FL 32217-2800
(904) 448-5075
(904) 636-7595
Mailing address
6320 SAINT AUGUSTINE RD, UNIT 1, JACKSONVILLE, FL 32217-2800
(904) 448-5075
(904) 636-7595
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684595
MEDICARE PTAN
FL
01
—
GBP
BC/BS OF FLORID
FL
Enumeration date
06/19/2006
Last updated
12/26/2014
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