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Contact Information

SUN HEALTH AND WELLNESS, INC
2306 NORTH BLVD W. SUITE A&B
DAVENPORT, FL33837
 Phone: 863-547-9922
 Fax: 863-547-9950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SUN HEALTH AND WELLNESS, INC

NPI Number 1609321082
LBN Legal business name SUN HEALTH AND WELLNESS, INC
Authorized official BALA KODE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2016
Last updated 05/03/2023 - About 3 years ago
Identifiers
FL License # PH30296
FL Medicaid 019105100
Other 2162519 PK
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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