Sunshine Wellness Center Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNSHINE WELLNESS CENTER CORP

Practice address

1200 NW 78TH Ave Ste 215
Doral, FL 33126-1890

Phone

(305) 465-0908

NPI assigned

Jul 28, 2020

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raul Otoniel Gonzalez

Title

Owner

Phone

(305) 218-9447

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1073122701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE STE 215",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261890",
            "telephone_number": "305-465-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 78TH AVE STE 215",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261890",
            "telephone_number": "305-465-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE WELLNESS CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "OTONIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-218-9447"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "12683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Forever Behavioral Services LLC
• Sunshine Rehab & Medical Inc
• Sunshine Services F&P Corporation
• Sunshine Soul Care Corp
• Sunshine State Home Health Agency Corp
• Super Advance Services Inc.
• Superior Healthcare & Research LLC
• Superior Med Solutions LLC
• Superior Pharmacy Group
• Superstar Home Health Care Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Doral, FL
• Providers in Doral, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.