Active NPI
Sunshine Healthcare Solutions of Brevard LLC
- Geriatric Medicine (Family Medicine) Physician
- Cocoa Beach, FL
National Provider Identifier
1164746665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- SUNSHINE HEALTHCARE SOLUTIONS OF BREVARD LLC
- Doing business as
- Sunshine Healthcare Solutions
- Practice address
- 465 Minutemen Cswy
Suite 455
Cocoa Beach, FL 32931-2881 - Phone
- (866) 389-7601
- Fax
- (866) 610-1917
- NPI assigned
- Mar 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Pitcher
- Title
- Chief Executive Officer
- Phone
- (321) 693-2977
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Geriatric Psychiatry Physician | 2084P0805X |
Addresses
Primary practice location
465 Minutemen Cswy
Suite 455
Cocoa Beach, FL 32931-2881
Mailing address
660 Plantation Rd
Merritt Island, FL 32952-4035
Phone (321) 693-2977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EX515A | Other | FL | PTAN |
Other names 1
- Sunshine Healthcare Solutions
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312848000000",
"number": "1164746665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 PLANTATION RD",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524035",
"telephone_number": "321-693-2977",
"fax_number": "866-610-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MINUTEMEN CSWY",
"address_2": "SUITE 455",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329312881",
"telephone_number": "866-389-7601",
"fax_number": "866-610-1917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE HEALTHCARE SOLUTIONS OF BREVARD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-26",
"last_updated": "2011-08-09",
"status": "A",
"authorized_official_last_name": "PITCHER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "321-693-2977",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "EX515A",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunshine Healthcare Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cocoa Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.