Active NPI
Sunstate Managed Care LLC
- Family Medicine Physician
- Palm Harbor, FL
National Provider Identifier
1164875290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUNSTATE MANAGED CARE LLC
- Practice address
- 3820 Tampa Road
Suite 202
Palm Harbor, FL 34684-3609 - Phone
- (727) 785-4540
- Fax
- (727) 781-7900
- NPI assigned
- Jul 13, 2016
- 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
- Cheryl Payne
- Title
- Cfo
- Phone
- (727) 785-4540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3820 Tampa Road
Suite 202
Palm Harbor, FL 34684-3609
Mailing address
PO Box 566
Palm Harbor, FL 34682-0566
Phone (727) 785-4540
National Provider Directory
National Provider DirectoryLocations
3820 Tampa Rd
Ste 102
Palm Harbor, FL 34684
Phone (727) 785-4540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468368000000",
"number": "1164875290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 566",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346820566",
"telephone_number": "727-785-4540",
"fax_number": "727-481-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 TAMPA ROAD",
"address_2": "SUITE 202",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843609",
"telephone_number": "727-785-4540",
"fax_number": "727-781-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSTATE MANAGED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "727-785-4540"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
- Sunshine Applied Speech Services
- Sunshine Medical Associates Inc
- Sunshine Mental Wellness Associates Inc.
- Sunshine State Home Health Care Inc (Close Companions)
- Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Palm Harbor)
- Susan Baldi DO PA
- Suzette Casabianca LMFT
- Swan Loving Care Home Care Agency
- Cynthia Swartz, RRT
- Amanda Swartzmiller, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.