Agency for Persons With Disabilities

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AGENCY FOR PERSONS WITH DISABILITIES

Doing business as

Sunland Center

Practice address

3700 Williams Drive
Marianna, FL 32446

Phone

(850) 482-9220

Fax

(850) 718-0434

NPI assigned

Dec 12, 2006

Last updated

Sep 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey David Egelston, ED.D.

Title

Superintendent

Phone

(850) 482-9210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunland Center Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1093875650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILLIAMS DRIVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-482-9220",
            "fax_number": "850-718-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILLIAMS DRIVE",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-482-9220",
            "fax_number": "850-718-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR PERSONS WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "EGELSTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "850-482-9210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011996204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunland Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eden Abad, M.D.
• Rochelle Petel Abad, M.D.
• Amber J Adams, NURSE PRACTITIONER
• Noah Brent Adams
• Adaptive Pediatric Therapy LLC
• Agency for Persons With Disabilities (Sunland Cox Medical Services - Dental Clinic)
• Mark R Akerson, MD
• Robin Edward Albritton, M.D.
• Nikki E Albu-Gardner, P.A.
• Melanie L Alday, MS

• Health Service Clinic/Center in Marianna, FL
• Providers in Marianna, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.