Provider Demographics
NPI:1871343053
Name:SUNSHINE URGENT CARE, LLC
Entity type:Organization
Organization Name:SUNSHINE URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-362-8330
Mailing Address - Street 1:3305 US HIGHWAY 98 S
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-8365
Mailing Address - Country:US
Mailing Address - Phone:863-777-2740
Mailing Address - Fax:863-666-2740
Practice Address - Street 1:11008 NORTH DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618
Practice Address - Country:US
Practice Address - Phone:813-362-8330
Practice Address - Fax:863-777-2740
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1457733743
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care