Organization Active NPI

Sunshine Healthcare Solutions of Brevard LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cocoa Beach, FL
National Provider Identifier
1164746665
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
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

Updated by the provider on Aug 9, 2011

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
EX515AOtherFLPTAN

Other names 1

  • Sunshine Healthcare Solutions Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.