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Organization
SUNSHINE EYES PLLC
Active
Organization
SUNSHINE EYES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA J KOVARIK MD (OWNER)
(239) 789-1410
Entity
Organization
Contact information
Practice address
13421 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-2076
(239) 789-1410
(239) 789-1408
Mailing address
13421 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-2076
(239) 789-1410
(239) 789-1408
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013212700
—
FL
01
—
ME120430
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
12/07/2023
Last updated
12/07/2023
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