# SUNSHINE STATE MEDICAL INC

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

## Provider details

- **NPI number:** 1598063935
- **Authorized official:** MS. MARTHA ORTIZ (PRESIDENT)
- **Authorized official phone:** (407) 482-0052

## Contact information

- **Practice address:** 5425 S SEMORAN BLVD STE 6A, ORLANDO, FL 32822-1777
- **Practice address phone:** (407) 482-0052
- **Practice address fax:** (407) 482-0198
- **Mailing address:** 5425 S SEMORAN BLVD STE 6A, ORLANDO, FL 32822-1777
- **Mailing address phone:** (407) 482-0052
- **Mailing address fax:** (407) 482-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 08/29/2023