Organization
SUNSHINE STATE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT MCNEAL (PRES)
(561) 501-2391
Entity
Organization
Contact information
Practice address
500 SHOTGUN RD, SUNRISE, FL 33326-1903
(561) 501-2391
Mailing address
2828 S SEACREST BLVD STE 213A, BOYNTON BEACH, FL 33435-7944
(561) 501-2391
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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