| Sunshine Medical Practices | |
|
2550 Nw 72 Ave 115-117 Miami FL 33122 | |
| (786) 536-2012 | |
| (786) 536-2013 |
| Full Name | Sunshine Medical Practices |
|---|---|
| Speciality | Family Medicine |
| Location | 2550 Nw 72 Ave, Miami, Florida |
| Authorized Official Name and Position | Widayessi Fernandez (OWNER) |
| Authorized Official Contact | 7865362012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Medical Practices 2550 Nw 72nd Ave Ste 115-117 Miami FL 33122-1350 Ph: (786) 536-2012 | Sunshine Medical Practices 2550 Nw 72 Ave 115-117 Miami FL 33122 Ph: (786) 536-2012 |
| NPI Number | 1942175757 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Medicare PECOS PAC ID | 0941747901 |
|---|---|
| Medicare Enrollment ID | O20240808000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942175757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Widayessi Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356852669 PECOS PAC ID: 6002140464 Enrollment ID: I20190619001554 |
| Provider Name | Gildayessi Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184281578 PECOS PAC ID: 2062873664 Enrollment ID: I20230728003266 |
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