SUNSHINE PODIATRY LLC NPI 1891318879

NPI Information

  • NPI: 1891318879
  • Provider Name: SUNSHINE PODIATRY LLC
  • Classification: Clinic/Center - 261QP1100X
  • Specialization: Podiatric
  • Entity Type: Organization
  • CLIA Number: 10D2326136
  • Address: 11918 BALM RIVERVIEW RD
    RIVERVIEW, FL
    ZIP 33569
  • Phone: (813) 522-6522

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NPI Details

SUNSHINE PODIATRY LLC is a podiatric clinic center in Riverview, FL. SUNSHINE PODIATRY LLC NPI is 1891318879. The provider is registered as an organization entity type.

The provider's business location address is:

11918 BALM RIVERVIEW RD
RIVERVIEW, FL
ZIP 33569-601
Phone: (813) 522-6522
Fax: (813) 658-6238

The provider's authorized official is Huy Nguyen .
The authorized official title is Owner and has the following contact phone number (510) 206-7935.

The CLIA number assigned to this NPI record is 10D2326136 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2020 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP1100XClinic/CenterPodiatricYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1106709700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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