Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sun Miracle Wellness Center LLC

Organization Primary Care Clinic/Center · NPI 1164130613

Sun Miracle Wellness Center LLC is a Primary Care Clinic/Center in Clearwater, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13575 58th St N Ste 200
Clearwater, FL 33760-3739
Phone: (727) 741-8475
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1164130613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanta Davis — Owner · (727) 741-8475
NPI enumeratedNovember 14, 2022
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address6740 Crosswinds Dr N Ste C, St Petersburg, FL 33710-5472

Other providers in Clearwater