Active NPI
Sunshine State Wellness
- Clinic/Center
- Sunrise, FL
National Provider Identifier
1063207967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SUNSHINE STATE WELLNESS
- Practice address
- 500 Shotgun Rd
Sunrise, FL 33326-1903 - Phone
- (561) 501-2391
- NPI assigned
- Apr 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent McNeal
- Title
- Pres
- Phone
- (561) 501-2391
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
500 Shotgun Rd
Sunrise, FL 33326-1903
Mailing address
2828 S Seacrest Blvd Ste 213a
Boynton Beach, FL 33435-7944
Phone (561) 501-2391
Other practice location 1
2828 S Seacrest Blvd Ste 213A
Boynton Beach, FL 33435-7944
Phone (561) 501-2391
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine State Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health & Wellness Coach
- Boynton Beach, FL
- NPI 1902769441
Locations
500 Shotgun Rd
Sunrise, FL 33326
Phone (561) 501-2391
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Health & Wellness Coach
- Boynton Beach, FL
- NPI 1902769441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1063207967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 S SEACREST BLVD STE 213A",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357944",
"telephone_number": "561-501-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SHOTGUN RD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333261903",
"telephone_number": "561-501-2391"
}
],
"practiceLocations": [
{
"address_1": "2828 S Seacrest Blvd Ste 213A",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334357944",
"country_code": "US",
"telephone_number": "561-501-2391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUNSHINE STATE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-11",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "MCNEAL",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "561-501-2391"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.