| Sunshine Functional Medicine | |
|
9420 Philbeck Ln Wake Forest NC 27587-1608 | |
| (813) 966-7111 | |
| Not Available |
| Full Name | Sunshine Functional Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 9420 Philbeck Ln, Wake Forest, North Carolina |
| Authorized Official Name and Position | Elizabeth Kirby (OWNER) |
| Authorized Official Contact | 8137316464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Functional Medicine 9420 Philbeck Ln Wake Forest NC 27587-3603 Ph: (813) 731-6464 | Sunshine Functional Medicine 9420 Philbeck Ln Wake Forest NC 27587-1608 Ph: (813) 966-7111 |
| NPI Number | 1639901440 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 4880189398 |
|---|---|
| Medicare Enrollment ID | O20251222003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639901440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QC1500X | Clinic/center - Community Health | (NU) | Secondary |
| Provider Name | Elizabeth Kirby |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730969510 PECOS PAC ID: 7214374479 Enrollment ID: I20251222003473 |
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