Provider Demographics
NPI:1861734766
Name:SUNSHINE MEDICAL & THERAPY CENTER P.A
Entity type:Organization
Organization Name:SUNSHINE MEDICAL & THERAPY CENTER P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCOIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-821-2174
Mailing Address - Street 1:1015 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:IMMOKALEE
Mailing Address - State:FL
Mailing Address - Zip Code:34142-3631
Mailing Address - Country:US
Mailing Address - Phone:239-657-2979
Mailing Address - Fax:239-657-3222
Practice Address - Street 1:1015 W MAIN ST
Practice Address - Street 2:
Practice Address - City:IMMOKALEE
Practice Address - State:FL
Practice Address - Zip Code:34142-3631
Practice Address - Country:US
Practice Address - Phone:239-657-2979
Practice Address - Fax:239-657-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 8453261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL262048100Medicaid
FL262048100Medicaid