| Sunshine Wellness Center Corp | |
|
1200 Nw 78th Ave Ste 215 Doral FL 33126-1890 | |
| (305) 465-0908 | |
| Not Available |
| Full Name | Sunshine Wellness Center Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1200 Nw 78th Ave Ste 215, Doral, Florida |
| Authorized Official Name and Position | Raul Otoniel Gonzalez (OWNER) |
| Authorized Official Contact | 3052189447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Wellness Center Corp 1200 Nw 78th Ave Ste 215 Doral FL 33126-1890 Ph: (305) 465-0908 | Sunshine Wellness Center Corp 1200 Nw 78th Ave Ste 215 Doral FL 33126-1890 Ph: (305) 465-0908 |
| NPI Number | 1073122701 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 01/20/2022 |
| Certification Date | 01/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073122701 | NPI | - | NPPES |
| 12683 | Other | FL | AHCA |
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