| Sunshine Family Medical Center, Llc | |
|
3333 W Commercial Blvd Ste 115b Fort Lauderdale FL 33309-3441 | |
| (954) 510-3638 | |
| (754) 263-5518 |
| Full Name | Sunshine Family Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3333 W Commercial Blvd Ste 115b, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Kervie Dorval (MANAGER) |
| Authorized Official Contact | 9546075540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Family Medical Center, Llc 3333 W Commercial Blvd Ste 115b Fort Lauderdale FL 33309-3441 Ph: (954) 607-5540 | Sunshine Family Medical Center, Llc 3333 W Commercial Blvd Ste 115b Fort Lauderdale FL 33309-3441 Ph: (954) 510-3638 |
| NPI Number | 1306655840 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 03/24/2025 |
| Medicare PECOS PAC ID | 1254855059 |
|---|---|
| Medicare Enrollment ID | O20250414000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306655840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Madeline Libema Cherubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629436985 PECOS PAC ID: 7315238839 Enrollment ID: I20160614000473 |
| Provider Name | Kervie Pierre Dorval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306360839 PECOS PAC ID: 7315276680 Enrollment ID: I20200817002479 |
| Provider Name | Rosenie B Jasmin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699390336 PECOS PAC ID: 0840602389 Enrollment ID: I20201207002844 |
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