Sunshine State Medical Inc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Orlando, Florida. Their current practice location is
5425 S Semoran Blvd Ste 6a, Orlando, Florida. You can reach out to their office (for appointments etc.) via phone at
(407) 482-0052.
Sunshine State Medical Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sunshine State Medical Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1598063935.
Healthcare Provider's Profile
| Full Name | Sunshine State Medical Inc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 5425 S Semoran Blvd Ste 6a, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598063935
- Provider Enumeration Date: 03/09/2011
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012922883
- Enrollment ID: O20131024000856
Medical Identifiers
Medical identifiers for Sunshine State Medical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598063935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 202D00000X | Integrative Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 2083S0010X | Preventive Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Sunshine State Medical Inc acts as a billing entity for following providers:
| Provider Name | Harvey Shub |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1740218973
PECOS PAC ID: 5890719470
Enrollment ID: I20060123000332 |
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| Provider Name | Jeffery K Clifton |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1033585823
PECOS PAC ID: 5092063925
Enrollment ID: I20180808002509 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sunshine State Medical Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sunshine State Medical Inc
5425 S Semoran Blvd Ste 6a,
Orlando, FL 32822-1777
Ph: (407) 482-0052 | Sunshine State Medical Inc
5425 S Semoran Blvd Ste 6a,
Orlando, FL 32822-1777
Ph: (407) 482-0052 |
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