Sunshine Pain Management Medical Center, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SUNSHINE PAIN MANAGEMENT MEDICAL CENTER, LLC

Doing business as

Alliance Pain Management, LLC

Practice address

915 NE 125TH St Ste 301
North Miami, FL 33161-5746

Phone

(305) 836-1421

Fax

(305) 836-1442

NPI assigned

May 3, 2011

Last updated

Jan 9, 2019By 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

Dr. Mogin Antoine, M.D.NPI 1639135601

Title

President

Phone

(305) 836-1421

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ALLIANCE PAIN MANAGEMENT, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Mogin Antoine, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • North Miami, FL
  • NPI 1639135601
  Medicare reassignment Care Compare group Authorized official
• Lynda Dieubon

  • Primary Care Nurse Practitioner
  • Miramar, FL
  • NPI 1730657867
  Medicare reassignment Care Compare group
• Fernando Rivabem, M.D.

  • Specialist
  • Sebring, FL
  • NPI 1386687630
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1124310651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 125TH ST STE 301",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615746",
            "telephone_number": "305-836-1421",
            "fax_number": "305-836-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 125TH ST STE 301",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615746",
            "telephone_number": "305-836-1421",
            "fax_number": "305-836-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PAIN MANAGEMENT MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "ANTOINE",
        "authorized_official_first_name": "MOGIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-836-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FP528A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANCE PAIN MANAGEMENT, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLIANCE PAIN MANAGEMENT, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nabil Sukar, PHARMD
• Sun Health Care Inc
• Sunkidz Pediatric Dentistry Group LLC
• Sunny Life Health Point Inc (Sunny Life Health Pharmacy)
• Sunshine Community Health Center, Inc.
• Sunshine Transport Services
• Supreme Healthcare Supply LLC
• Nicole R Swaggerty-Valdes, PH.D.
• Tanweer Hassan Syed, DMD
• Sylvan Fain DDS PA

• Pain Medicine (Anesthesiology) Physician in North Miami, FL
• Providers in North Miami, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.