Organization
SUNSHINE STATE HEALTH PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD CANOFARI (DIRECTOR, ENCOUNTERS)
(954) 377-8521
Entity
Organization
Contact information
Practice address
1700 N UNIVERSITY DR, PLANTATION, FL 33322-4107
(954) 377-8490
Mailing address
1700 N UNIVERSITY DR, PLANTATION, FL 33322-4107
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108773511
—
FL
Enumeration date
03/11/2022
Last updated
03/11/2022
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