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Organization
SUNSHINE PRIMARY CARE LLC
Active
Organization
SUNSHINE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHIATH KASHLAN MD (OWNER/PROVIDER/CEO)
(813) 792-1900
Entity
Organization
Contact information
Practice address
17921 HUNTING BOW CIR, SUITE 101, LUTZ, FL 33558-5379
(813) 792-1900
Mailing address
17921 HUNTING BOW CIR, SUITE 101, LUTZ, FL 33558-5379
(813) 792-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106343
FL
Other
Enumeration date
03/17/2013
Last updated
03/25/2013
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