| Sunshine State Medical Inc | |
|
5425 S Semoran Blvd Ste 6a Orlando FL 32822-1777 | |
| (407) 482-0052 | |
| (407) 482-0198 |
| Full Name | Sunshine State Medical Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5425 S Semoran Blvd Ste 6a, Orlando, Florida |
| Authorized Official Name and Position | Martha Ortiz (PRESIDENT) |
| Authorized Official Contact | 4074820052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine State Medical Inc 5425 S Semoran Blvd Ste 6a Orlando FL 32822-1777 Ph: (407) 482-0052 | Sunshine State Medical Inc 5425 S Semoran Blvd Ste 6a Orlando FL 32822-1777 Ph: (407) 482-0052 |
| NPI Number | 1598063935 |
|---|---|
| Provider Enumeration Date | 03/09/2011 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Medicare PECOS PAC ID | 7012922883 |
|---|---|
| Medicare Enrollment ID | O20131024000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598063935 | NPI | - | NPPES |
| Provider Name | Harvey Shub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740218973 PECOS PAC ID: 5890719470 Enrollment ID: I20060123000332 |
| Provider Name | Jeffery K Clifton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033585823 PECOS PAC ID: 5092063925 Enrollment ID: I20180808002509 |
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