Provider Demographics
NPI:1174691240
Name:SUNSHINE MEDICAL SUPPLY SERVICES, INC.
Entity type:Organization
Organization Name:SUNSHINE MEDICAL SUPPLY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:P
Authorized Official - Last Name:GUSHIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-858-8688
Mailing Address - Street 1:1111 SW 8TH ST
Mailing Address - Street 2:#205
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-3639
Mailing Address - Country:US
Mailing Address - Phone:305-858-8688
Mailing Address - Fax:305-858-8689
Practice Address - Street 1:1111 SW 8TH ST
Practice Address - Street 2:#205
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-3639
Practice Address - Country:US
Practice Address - Phone:305-858-8688
Practice Address - Fax:305-858-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies