| Sunshine State Family Care Pa | |
|
16144 Churchview Dr Building A, Suite 109 Lithia FL 33547-3851 | |
| (813) 631-9396 | |
| Not Available |
| Full Name | Sunshine State Family Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 16144 Churchview Dr, Lithia, Florida |
| Authorized Official Name and Position | Monica Rivera-amill (PRESIDENT) |
| Authorized Official Contact | 8136319396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine State Family Care Pa 16144 Churchview Dr Building A, Suite 109 Lithia FL 33547-3851 Ph: (813) 631-9396 | Sunshine State Family Care Pa 16144 Churchview Dr Building A, Suite 109 Lithia FL 33547-3851 Ph: (813) 631-9396 |
| NPI Number | 1013341429 |
|---|---|
| Provider Enumeration Date | 08/22/2013 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013341429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME105665 (Florida) | Primary |
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