Organization
SUNSHINE DOCTORS GROUP. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ROUSSEAU (CHIEF ADMINISTRATIVE OFFICER)
(772) 266-7682
Entity
Organization
Contact information
Practice address
3531 SW CORPORATE PARKWAY, ROOM 1, PALM CITY, FL 34990
(772) 872-6025
(772) 872-6128
Mailing address
PO BOX 733154, DALLAS, TX 75373-3154
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
08/09/2018
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