| Sunshine Family Healthcare, Llc | |
|
21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 | |
| (386) 986-6808 | |
| (386) 986-6818 |
| Full Name | Sunshine Family Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Hospital Dr Ste 280, Palm Coast, Florida |
| Authorized Official Name and Position | Jerry Dale Leventhal (OWNER / PHYSICIAN) |
| Authorized Official Contact | 3869866808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Healthcare, Llc 21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 Ph: (386) 986-6808 | Sunshine Family Healthcare, Llc 21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 Ph: (386) 986-6808 |
| NPI Number | 1235174095 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235174095 | NPI | - | NPPES |
| 300519400 | Medicaid | FL | |
| 15598000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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