| Sunshine Pediatric Dentistry Pa | |
|
5000 Hollywood Blvd Hollywood FL 33021-6530 | |
| (954) 989-4400 | |
| Not Available |
| Full Name | Sunshine Pediatric Dentistry Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5000 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Michael Brody (OWNER) |
| Authorized Official Contact | 3055358001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Pediatric Dentistry Pa 5000 Hollywood Blvd Suite 1 Hollywood FL 33021 Ph: (954) 989-4400 | Sunshine Pediatric Dentistry Pa 5000 Hollywood Blvd Hollywood FL 33021-6530 Ph: (954) 989-4400 |
| NPI Number | 1588935365 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 12/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588935365 | NPI | - | NPPES |
| 004473000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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