Sunshine Spine and Pain, PA

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

ME84002 Issued in FL

Legal business name

SUNSHINE SPINE AND PAIN, PA

Practice address

3 Shircliff Way
Suite 610
Jacksonville, FL 32204-4757

Phone

(904) 292-2700

NPI assigned

Nov 26, 2008

Organization subpart

No

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

Authorized official

Name

Teresa Friedley

Title

Practice Administrator

Phone

(904) 292-2700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sunshine Spine and Pain PA

  • Specialist
  • Jacksonville, FL
  • NPI 1215233184

  O20051014000154

  Same enrollment

Locations

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1124273529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919327",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919327",
            "telephone_number": "904-292-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHIRCLIFF WAY",
            "address_2": "SUITE 610",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044757",
            "telephone_number": "904-292-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SPINE AND PAIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDLEY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-292-2700"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME84002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Mental Healthcare LLC
• Sunshine Orthopedics & Spine LLC
• Sunshine Provider Services
• Sunshine Speech LLC
• Sunshine Spine and Pain PA
• Sunshine State Anesthesia Partners LLC
• Sunshine State Transport, LLC
• Sunshine Support Services
• Sunshine Support Services, LLC
• Sunshine Therapy Center, Inc.

• All providers in Jacksonville, FL
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.