| Sunshine Youth Services | |
|
6302 Benjamin Rd Suite 400 Tampa FL 33634-5116 | |
| (813) 514-6275 | |
| (813) 514-6723 |
| Full Name | Sunshine Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6302 Benjamin Rd, Tampa, Florida |
| Authorized Official Name and Position | Shannon M Carey (ADMINISTRATIVE SUPPORT COORDINATOR) |
| Authorized Official Contact | 8135146275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Youth Services 6302 Benjamin Rd Suite 400 Tampa FL 33634-5116 Ph: (813) 514-6275 | Sunshine Youth Services 6302 Benjamin Rd Suite 400 Tampa FL 33634-5116 Ph: (813) 514-6275 |
| NPI Number | 1730346370 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730346370 | NPI | - | NPPES |
| 075147200 | Medicaid | FL | |
| 379312500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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