| Sunshine Family Healthcare, Llc | |
|
21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 | |
| (386) 986-6808 | |
| Not Available |
| Full Name | Sunshine Family Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Hospital Dr Ste 280, Palm Coast, Florida |
| Authorized Official Name and Position | Jerry D Leventhal (OWNER / PHYSICIAN) |
| Authorized Official Contact | 3863136420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Healthcare, Llc 21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 Ph: (386) 313-6420 | Sunshine Family Healthcare, Llc 21 Hospital Dr Ste 280 Palm Coast FL 32164-2456 Ph: (386) 986-6808 |
| NPI Number | 1437744794 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 10/28/2021 |
| Medicare PECOS PAC ID | 1658789151 |
|---|---|
| Medicare Enrollment ID | O20210422000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437744794 | NPI | - | NPPES |
| 15598000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jerry Leventhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558364265 PECOS PAC ID: 3678569514 Enrollment ID: I20040424000055 |
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