NPIMap

Organization Active NPI

Sunrise Laser & Hormone Institute

  • General Practice Physician
  • Sunrise, FL
National Provider Identifier
1003167362
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNRISE LASER & HORMONE INSTITUTE
Practice address
2500 N University Dr
Suite 3
Sunrise, FL 33322-3003
Phone
(954) 748-4302
Fax
(954) 748-4304
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Authorized official

Name
Mike Adams
Title
Office Manager
Phone
(954) 748-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2500 N University Dr
Suite 3
Sunrise, FL 33322-3003

Mailing address

2500 N University Dr
Suite 3
Sunrise, FL 33322-3003
Phone (954) 748-4302

National Provider Directory

National Provider Directory

Locations

2500 N University Dr
Ste 3
Sunrise, FL 33322
Phone (954) 741-3200

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1003167362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223003",
            "telephone_number": "954-748-4302",
            "fax_number": "954-748-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223003",
            "telephone_number": "954-748-4302",
            "fax_number": "954-748-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LASER & HORMONE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "954-748-4302"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.