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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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