Organization
SUNSHINE MEDICAL SPECIALISTS, LLC
Active
Other names
Sunshine Medical Specialists, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
THANH NGUYEN MD (OWNER)
(904) 533-6868
Entity
Organization
Contact information
Practice address
10175 FORTUNE PKWY, JACKSONVILLE, FL 32256-6746
(904) 533-6868
Mailing address
1334 N KYLE WAY, SAINT JOHNS, FL 32259-1927
(904) 533-6868
(904) 770-4003
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103328600
—
FL
Enumeration date
10/03/2019
Last updated
04/01/2020
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