| Sunshine Family Medicine Inc | |
|
115 S Gloria St Clewiston FL 33440-3505 | |
| (863) 983-2282 | |
| (863) 983-2864 |
| Full Name | Sunshine Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 S Gloria St, Clewiston, Florida |
| Authorized Official Name and Position | Laura Jones (PHYSICIAN, OFFICE MANAGER) |
| Authorized Official Contact | 8639832282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Medicine Inc Po Box 1795 Clewiston FL 33440-1795 Ph: (863) 983-2282 | Sunshine Family Medicine Inc 115 S Gloria St Clewiston FL 33440-3505 Ph: (863) 983-2282 |
| NPI Number | 1992926182 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 2769384668 |
|---|---|
| Medicare Enrollment ID | O20040122000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992926182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659395630 PECOS PAC ID: 9638071541 Enrollment ID: I20101025000272 |
| Provider Name | Kristina Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659857530 PECOS PAC ID: 3870843774 Enrollment ID: I20180913000725 |
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