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Contact Information

SUNSHINE PEDIATRICS OF BREVARD
445 PINEDA CT
MELBOURNE, FL32940-7555
 Phone: 321-254-8400
 Fax: 321-254-7306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUNSHINE PEDIATRICS OF BREVARD · (Female)

NPI # 1487731931
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 01/04/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME59415
  • FL Medicaid 058052000
  • FL Medicaid 058416900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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