Organization
SUNSHINE SPORT AND SPINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA E FERNANDEZ DPT (OWNER)
(727) 992-2682
Entity
Organization
Contact information
Practice address
1250 OGDEN RD, VENICE, FL 34285-5579
(727) 992-2682
Mailing address
1242 SOUTHBAY DR, OSPREY, FL 34229-9718
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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