Sunshine Kids Pediatric Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SUNSHINE KIDS PEDIATRIC CARE, LLC

Practice address

6603 Taft St
Hollywood, FL 33024-4010

Phone

(954) 881-8230

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David R Maymon, J.D. ADMINISTRATOR

Title

Founder/Ceo

Phone

(954) 881-8230

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Kids Pediatric Care, LLC Former legal business name

Locations

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1023591096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 TAFT ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330244010",
            "telephone_number": "954-881-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE KIDS PEDIATRIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "MAYMON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "954-881-8230",
        "authorized_official_credential": "J.D. ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Kids Pediatric Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sunshine Kids Pediatric Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nursing Care Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.