Sundari Plastics LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS9566 Issued in FL

Legal business name

SUNDARI PLASTICS LLC

Practice address

14100 Fivay Rd
Suite 130
Hudson, FL 34667-7180

Phone

(727) 378-5808

Fax

(727) 378-5810

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Barry Roach Jr., D.O.NPI 1881640639

Title

President

Phone

(727) 378-5808

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John B Roach Jr., D.O.

  • Surgery Physician
  • Lutz, FL
  • NPI 1881640639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1154577021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5441",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346745441",
            "telephone_number": "727-378-5808",
            "fax_number": "727-378-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 FIVAY RD",
            "address_2": "SUITE 130",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677180",
            "telephone_number": "727-378-5808",
            "fax_number": "727-378-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDARI PLASTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-378-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9566",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "OS9566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suncoast Eye Center PA
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• Suncoast Recovery Center Inc
• Suncoast Retina Consultants, LLC (The Macula Center)
• Suncoast Urology PA
• Suretycare, Inc.
• Karl Swanson, M.D.
• Usama Ahmed Syed
• Tristan Anthony Sypula, DO
• Jonathan Szabo, CRNA

• Surgery Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.