Sunshine State Family Care PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME105665 Issued in FL

Legal business name

SUNSHINE STATE FAMILY CARE PA

Practice address

16144 Churchview Dr
Building a, Suite 109
Lithia, FL 33547-3851

Phone

(813) 631-9396

NPI assigned

Aug 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Monica Rivera-Amill, MD

Title

President

Phone

(813) 631-9396

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1013341429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16144 CHURCHVIEW DR",
            "address_2": "BUILDING A, SUITE 109",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473851",
            "telephone_number": "813-631-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 CHURCHVIEW DR",
            "address_2": "BUILDING A, SUITE 109",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335473851",
            "telephone_number": "813-631-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA-AMILL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-631-9396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lithia, FL
• Providers in Lithia, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.