Provider Demographics
NPI:1174306542
Name:SUNSHINE FAMILY CARE LLC
Entity type:Organization
Organization Name:SUNSHINE FAMILY CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-441-6863
Mailing Address - Street 1:2277 LEE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1887
Mailing Address - Country:US
Mailing Address - Phone:321-441-6863
Mailing Address - Fax:407-477-5673
Practice Address - Street 1:1013 SR 434
Practice Address - Street 2:SUITE 1060
Practice Address - City:ATLAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:321-441-6863
Practice Address - Fax:407-477-5673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care