SUNSHINE STATE PEDIATRICS; NPI #1093108326

Contact Information

SUNSHINE STATE PEDIATRICS

16800 NW 2ND AVENUE
SUITE 307
NORTH MIAMI BEACH, FL 33169

Phone: 305-655-2340
Fax: 305-770-9382
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for SUNSHINE STATE PEDIATRICS

NPI Number 1093108326

LBN Legal business name SUNSHINE STATE PEDIATRICS

Authorized official RONALD GRAY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/11/2015

Last updated 03/11/2015 - About 11 years ago

Identifiers

License #

ME58963

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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