Organization Active NPI

Sun State Physicians Services, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1083948392
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
SUN STATE PHYSICIANS SERVICES, LLC
Practice address
Spring Hills at Hunter'S Creek
Town Center Blvd
Orlando, FL 32837
Phone
(407) 251-8088
NPI assigned
Sep 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Felipe Collazo-Pagan, M.D.
Title
President
Phone
(407) 928-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

Spring Hills at Hunter'S Creek
Town Center Blvd
Orlando, FL 32837

Mailing address

PO Box 451624
Kissimmee, FL 34745-1624
Phone (407) 928-1880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1083948392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451624",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347451624",
            "telephone_number": "407-928-1880",
            "fax_number": "407-201-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPRING HILLS AT HUNTER'S CREEK",
            "address_2": "TOWN CENTER BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "407-251-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STATE PHYSICIANS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "COLLAZO-PAGAN",
        "authorized_official_first_name": "FELIPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-928-5766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "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 Sep 21, 2009; 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.