# SONSHINE AMBULATORY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336187988
- **Authorized official:** DR. LORETHA KING D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (772) 308-0900

## Contact information

- **Practice address:** 1405 SE GOLDTREE DR, SUITE \# C, PORT ST LUCIE, FL 34952-7563
- **Practice address phone:** (772) 380-0900
- **Mailing address:** 1405 SE GOLDTREE DR, SUITE \# C, PORT ST LUCIE, FL 34952-7563
- **Mailing address phone:** (772) 380-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS8310 | FL | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/22/2020