Organization
SUNSHINE ASSISTANT LLC
Active
Organization
SUNSHINE ASSISTANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO NUNEZ PA (PRESIDENT)
(813) 376-3491
Entity
Organization
Contact information
Practice address
6308 PROMINENCE POINT DRIVE, LAKELAND, FL 33813-4491
(813) 376-3491
(813) 376-3491
Mailing address
6308 PROMINENCE POINT DRIVE, LAKELAND, FL 33813-4491
(813) 376-3491
(813) 376-3491
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9101680
LICENSE
FL
Enumeration date
03/26/2012
Last updated
03/26/2012
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