Organization
SUNSHINE BEHAVIORAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIUMARS E. SHAMS MD (PRESIDENT)
(850) 360-4147
Entity
Organization
Contact information
Practice address
5389 COTTON ST, GRACEVILLE, FL 32440-1739
(850) 360-4147
(850) 360-4068
Mailing address
PO BOX 186, GRACEVILLE, FL 32440-0186
(850) 360-4147
(850) 360-4068
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/22/2018
Last updated
01/06/2022
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