| Sunshine Physicians Inc | |
|
1730 Dunlawton Ave Suite 1 Port Orange FL 32127-8985 | |
| (386) 271-4412 | |
| (386) 271-4411 |
| Full Name | Sunshine Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1730 Dunlawton Ave, Port Orange, Florida |
| Authorized Official Name and Position | Hassan Alkhatib (CEO) |
| Authorized Official Contact | 3862714412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Physicians Inc 1730 Dunlawton Ave Suite 1 Port Orange FL 32127-8985 Ph: (386) 271-4412 | Sunshine Physicians Inc 1730 Dunlawton Ave Suite 1 Port Orange FL 32127-8985 Ph: (386) 271-4412 |
| NPI Number | 1376998971 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 2769772235 |
|---|---|
| Medicare Enrollment ID | O20160613001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376998971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hassan Alkhatib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952630105 PECOS PAC ID: 4789708827 Enrollment ID: I20100826000653 |
| Provider Name | Leslie A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700482163 PECOS PAC ID: 4082070677 Enrollment ID: I20230524002815 |
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