Organization · Type 2 NPI

Sunshine State Physicians Group, LLC

Specialist · Orlando, FL

NPI number 1346594868 Active

Practice location

9753 S Orange Blossom Trl, Suite 103
Orlando, FL 32837-7841

Fax (407) 857-8672

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	CH10505 (FL)
Specialist Primary	174400000X	ME50492 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2 other providers at this address

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NPI record

NPI: 1346594868
Entity type: Organization (Type 2)
Issued: Nov 6, 2012
Last updated: Nov 6, 2012
Status: Active

Other names

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Sunshine State Physicians Group · doing business as

Authorized official

Ms. Sandra Lynne Austin, BSN, BSHA
Director of Clinical Operations
(407) 857-8679

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346594868

Sunshine State Physicians Group, LLC's National Provider Identifier is 1346594868, issued on Nov 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orlando, FL. The record was last updated on Nov 6, 2012.