| Sunshiny Mental Health Pllc | |
|
19330 Sw 69th St Fort Lauderdale FL 33332-1652 | |
| (754) 666-1911 | |
| (888) 958-5968 |
| Full Name | Sunshiny Mental Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
| Location | 19330 Sw 69th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Khaja Chisty (OWNER) |
| Authorized Official Contact | 2489878117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshiny Mental Health Pllc Po Box 451959 Sunrise FL 33345-1959 Ph: (720) 515-9112 | Sunshiny Mental Health Pllc 19330 Sw 69th St Fort Lauderdale FL 33332-1652 Ph: (754) 666-1911 |
| NPI Number | 1023448388 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023448388 | NPI | - | NPPES |
| 130080684 | Other | CO | DRIVERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | ME109705 (Florida) | Primary |
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