SUNSHINE STATE TREATMENT CENTER, LLC


Address: 900 N Federal Hwy Ste 104, Lake Park, FL 33403-2856
Phone: 5618765100

SUNSHINE STATE TREATMENT CENTER, LLC (NPI# 1063967032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063967032
Entity Type Organization
Organization Name SUNSHINE STATE TREATMENT CENTER, LLC
Practice Address 900 N Federal Hwy Ste 104
Lake Park
FL 33403-2856
Practice Telephone 5618765100
Mailing Telephone 5618765100
Enumeration Date 2016-08-19
Last Update Date 2017-02-28
Authorized Official Name SIGRID EZSA ALLEN (OWNER)
Authorized Official Telephone 5618765100
Authorized Official Credential MS,RIMHC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
50=========01 FL Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003364266 Sunshine State Treatment Center, LLC Clinic/Center 900 N Federal Hwy, #104, Lake Park, FL 33403-2856 2016-09-16

Office Location

Street Address 900 N FEDERAL HWY STE 104
City LAKE PARK
State FL
Zip Code 33403-2856

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1962844654 Empathic Partners Iop LLC Clinic/Center 1408 N. Killian Drive, Suite 201, Lake Park, FL 33403 2013-07-23
1093059784 The Recovery Team, Inc Clinic/Center 509 Federal Hwy Ste 202, Lake Park, FL 33403 2012-11-19
1952734238 Empathic Partners Iop LLC Clinic/Center 1408 N. Killian Drive, Suite 201, Lake Park, FL 33403 2013-08-09

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Competitor

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City LAKE PARK
Zip Code 33403

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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