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Organization
SUNSHINE STATE MEDICAL INC
Active
Organization
SUNSHINE STATE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA ORTIZ (PRESIDENT)
(407) 482-0052
Entity
Organization
Contact information
Practice address
5425 S SEMORAN BLVD STE 6A, ORLANDO, FL 32822-1777
(407) 482-0052
(407) 482-0198
Mailing address
5425 S SEMORAN BLVD STE 6A, ORLANDO, FL 32822-1777
(407) 482-0052
(407) 482-0198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
202D00000X
Integrative Medicine Physician
—
NULL
202D00000X
Integrative Medicine Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
NULL
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
03/09/2011
Last updated
08/29/2023
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