Organization
SUNSHINE MEDICAL &SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA NIXON (OWNER)
(954) 709-4476
Entity
Organization
Contact information
Practice address
2012 GLENMORE WAY, FLORENCE, SC 29505-6851
(954) 709-4476
(843) 669-9258
Mailing address
4001 E PALMETTO ST STE 4, FLORENCE, SC 29506-4213
(843) 206-3800
(843) 669-9258
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10101974
—
SC
Enumeration date
08/14/2015
Last updated
08/14/2015
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