# SUNSHINE PSYCHOLOGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1972719193
- **Authorized official:** GLICERIA ZORAIDA CALVO -SCOTT (OWNER THERAPIST)
- **Authorized official phone:** (863) 424-4946

## Contact information

- **Practice address:** 5730 LOMA VISTA DRIVE WEST, DAVENPORT, FL 33896
- **Practice address phone:** (863) 424-4923
- **Practice address fax:** (863) 424-4946
- **Mailing address:** 5856 LOMA VISTA DRIVE WEST, DAVENPORT, FL 33896
- **Mailing address phone:** (863) 424-4946
- **Mailing address fax:** (863) 424-4946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT1842 | FL | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/01/2008
