Son Shine Foot and Ankle Center Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2649 Issued in FL

Legal business name

SON SHINE FOOT AND ANKLE CENTER INC

Practice address

1405 SE Goldtree Dr
Suite B
Port St Lucie, FL 34952-7563

Phone

(772) 380-0900

Fax

(772) 380-0901

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Albert Andrew Derrico, DPM

Title

Physician

Phone

(772) 380-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loretha King, DO

  • General Practice Physician
  • Daytona Beach, FL
  • NPI 1578699351
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1063459675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8210",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349858210",
            "telephone_number": "772-380-0900",
            "fax_number": "772-380-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SE GOLDTREE DR",
            "address_2": "SUITE B",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527563",
            "telephone_number": "772-380-0900",
            "fax_number": "772-380-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SON SHINE FOOT AND ANKLE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "DERRICO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-380-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Jose Solis
• Michael Craig Solomon, M.D.
• Soma Medical Center, P.a.
• Soma Medical Center, PA #4
• Justine Renee Sommers
• Michael Sonenblum, MD
• Cathy L Sonier, MFT
• Sonshine Ambulatory Care Center
• Arlety Soria Morales
• Alberto Javier Soto Torre

• Foot & Ankle Surgery Podiatrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.