SUNSHINE PEDIATRICS OF BREVARD; NPI #1487731931

Contact Information

SUNSHINE PEDIATRICS OF BREVARD

445 PINEDA CT
MELBOURNE, FL 32940-7555

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

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NPI Profile & details for SUNSHINE PEDIATRICS OF BREVARD

NPI # 1487731931

LBN Legal business name SUNSHINE PEDIATRICS OF BREVARD

Authorized official YOLANDA MATEOS - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/01/2006

Last updated 01/04/2013 - About 13 years ago

Identifiers

FL	License #	ME59415
FL	Medicaid	058052000
FL	Medicaid	058416900

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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