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Organization
SUNSHINE FAMILY HEALTHCARE, LLC
Active
Organization
SUNSHINE FAMILY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY D LEVENTHAL MD (OWNER / PHYSICIAN)
(386) 313-6420
Entity
Organization
Contact information
Practice address
21 HOSPITAL DR STE 280, PALM COAST, FL 32164-2456
(386) 986-6808
Mailing address
21 HOSPITAL DR STE 280, PALM COAST, FL 32164-2456
(386) 313-6420
(386) 313-6433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15598000
—
FL
Enumeration date
03/08/2021
Last updated
10/28/2021
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