Active NPI
Sunshine Surgical Assisting L.L.C.
- Surgical Physician Assistant
- Delray Beach, FL
National Provider Identifier
1174167274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SUNSHINE SURGICAL ASSISTING L.L.C.
- Practice address
- 5275 Jog LN
Delray Beach, FL 33484-6622 - Phone
- (606) 831-3162
- NPI assigned
- Oct 31, 2019
- 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
- Zane Jude
- Title
- Csfa
- Phone
- (606) 831-3162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
5275 Jog LN
Delray Beach, FL 33484-6622
Mailing address
5275 Jog LN
Delray Beach, FL 33484-6622
Phone (606) 831-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182220 | Other | CSFA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1174167274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 JOG LN",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846622",
"telephone_number": "606-831-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 JOG LN",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846622",
"telephone_number": "606-831-3162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE SURGICAL ASSISTING L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-31",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "JUDE",
"authorized_official_first_name": "ZANE",
"authorized_official_title_or_position": "CSFA",
"authorized_official_telephone_number": "606-831-3162"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSFA",
"identifier": "182220",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.