Organization
SUNSHINE YOUTH SERVICES
Active
Organization
SUNSHINE YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON M CAREY (ADMINISTRATIVE SUPPORT COORDINATOR)
(813) 514-6275
Entity
Organization
Contact information
Practice address
6302 BENJAMIN RD, SUITE 400, TAMPA, FL 33634-5116
(813) 514-6275
(813) 514-6723
Mailing address
6302 BENJAMIN RD, SUITE 400, TAMPA, FL 33634-5116
(813) 514-6275
(813) 514-6723
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075147200
—
FL
05
—
379312500
—
FL
Enumeration date
05/21/2008
Last updated
05/21/2008
Update your record
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