Organization
SUNSHINE THERAPY CENTER, INC.
Active
Other names
Comprehensive Therapy Center of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS THOMPSON PT (PRESIDENT)
(904) 448-5075
Entity
Organization
Contact information
Practice address
6320 SAINT AUGUSTINE RD, UNIT 1, JACKSONVILLE, FL 32217-2800
(904) 448-5075
(904) 636-7595
Mailing address
6320 SAINT AUGUSTINE RD, UNIT 1, JACKSONVILLE, FL 32217-2800
(904) 448-5075
(904) 636-7595
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684595
MEDICARE PTAN
FL
01
—
GBP
BC/BS OF FLORID
FL
Enumeration date
06/19/2006
Last updated
12/26/2014
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