Organization Active NPI

Sunshine Premier Wellness Center LLC

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1063986461
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SUNSHINE PREMIER WELLNESS CENTER LLC
Practice address
4365 Hunters Park LN # 50
Orlando, FL 32837-7614
Phone
(407) 412-5160
Fax
(833) 212-3716
NPI assigned
Jan 18, 2019
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Dr. Indhira Almonte, MDNPI 1912164781
Title
Owner
Phone
(813) 715-9802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4365 Hunters Park LN # 50
Orlando, FL 32837-7614

Mailing address

4365 Hunters Park LN # 50
Orlando, FL 32837-7614
Phone (407) 412-5160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190417000021 FL Part B Supplier - Clinic/Group Practice 8325389505 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

13550 Village Park Dr
Unit 340
Orlando, FL 32837
Phone (407) 412-5160

4365 Hunters Park Ln
#50
Orlando, FL 32837
Phone (407) 412-5160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1063986461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 HUNTERS PARK LN # 50",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-412-5160",
            "fax_number": "833-212-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 HUNTERS PARK LN # 50",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-412-5160",
            "fax_number": "833-212-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PREMIER WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ALMONTE",
        "authorized_official_first_name": "INDHIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-715-9802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.