Sunshine State Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME58963 Issued in FL

Legal business name

SUNSHINE STATE PEDIATRICS

Practice address

16800 NW 2ND Avenue
Suite 307
North Miami Beach, FL 33169

Phone

(305) 655-2340

Fax

(305) 770-9382

NPI assigned

Mar 11, 2015

Organization subpart

No

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

Authorized official

Name

Ronald Gray, M.D.

Title

Owner

Phone

(305) 655-2340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1093108326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE",
            "address_2": "SUITE 307",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695549",
            "telephone_number": "305-655-2340",
            "fax_number": "305-770-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVENUE",
            "address_2": "SUITE 307",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "33169",
            "telephone_number": "305-655-2340",
            "fax_number": "305-770-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-655-2340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME58963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Harley Summers, OTR/L
• Summit Radiology LLC
• Luis David Sumoza, MD
• Sunmed Health Center Inc
• Sunshine Comprehensive Healthcare
• Sunshine State Rehabilitation,Inc
• Sunshine Wellness, Inc.
• Super Dental Inc
• Superhero Kiddos - ABA Center
• Superkids Extended Care LLC

• Primary Care Clinic/Center in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.