Sunshiny Mental Health Pllc | |
19330 Sw 69th St Fort Lauderdale FL 33332-1652 | |
(754) 666-1911 | |
(888) 958-5968 |
Full Name | Sunshiny Mental Health Pllc |
---|---|
Speciality | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry |
Location | 19330 Sw 69th St, Fort Lauderdale, Florida |
Authorized Official Name and Position | Khaja Chisty (OWNER) |
Authorized Official Contact | 2489878117 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sunshiny Mental Health Pllc Po Box 451959 Sunrise FL 33345-1959 Ph: (720) 515-9112 | Sunshiny Mental Health Pllc 19330 Sw 69th St Fort Lauderdale FL 33332-1652 Ph: (754) 666-1911 |
NPI Number | 1023448388 |
---|---|
Provider Enumeration Date | 11/22/2013 |
Last Update Date | 09/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023448388 | NPI | - | NPPES |
130080684 | Other | CO | DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | ME109705 (Florida) | Primary |
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