Sunshine State Pediatrics of Central Florida Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

96797 Issued in FL

Legal business name

SUNSHINE STATE PEDIATRICS OF CENTRAL FLORIDA INC

Practice address

8000 Red Bug Lake Rd Ste 280
Oviedo, FL 32765-9267

Phone

(407) 977-1234

Fax

(407) 977-1235

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Shanna Nicole Kovacs, RN

Title

Owner

Phone

(407) 977-1234

Specialties & licenses 1

Addresses

Practitioners 1

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

• Antonio De Jesus Carcamo, MD

  • Pediatrics Physician
  • Davenport, FL
  • NPI 1740399799
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1184854176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623747",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327623747",
            "telephone_number": "407-977-1234",
            "fax_number": "407-977-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 RED BUG LAKE RD STE 280",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659267",
            "telephone_number": "407-977-1234",
            "fax_number": "407-977-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE PEDIATRICS OF CENTRAL FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-977-1234",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "96797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Ray Strobl
• Summerville at Oviedo, LLC (Brookdale Oviedo)
• Summerville Senior Living LLC (Summerville at Oviedo LLC)
• Summit Therapies, LLC
• Sunshine Counseling Services, LLC
• Super Saver Pharmacy 4 LLC (Aventus Pharmacy)
• Supportive Care Services, LLC
• Cyndel Surdovel
• Ravi S Swami
• Shelby Sweeney, MS CCC-SLP

• Pediatrics Physician in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.