Organization
SUNSHINE PATIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAT PERVIN MD (OWNER)
(352) 245-6922
Entity
Organization
Contact information
Practice address
5050 COUNTY ROAD 472, OXFORD, FL 34484-3750
(352) 245-6922
Mailing address
10502 SE 29TH AVE, OCALA, FL 34480-7912
(352) 245-6922
(352) 245-6988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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