NPIMap

Organization Active NPI

Sunshine Radiology LLC

  • Diagnostic Radiology Physician
  • Winter Haven, FL
National Provider Identifier
1184895054
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME55374 Issued in FL
Legal business name
SUNSHINE RADIOLOGY LLC
Practice address
529 E Central Ave
Winter Haven, FL 33880-3054
Phone
(863) 299-1155
Fax
(863) 299-1177
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Roberta Cove
Title
Ceo
Phone
(863) 299-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X ME55374 FL Primary

Addresses

Primary practice location

529 E Central Ave
Winter Haven, FL 33880-3054

Mailing address

529 E Central Ave
Winter Haven, FL 33880-3054
Phone (863) 299-1155

National Provider Directory

National Provider Directory

Locations

13933 17th St
Ste 101
Dade City, FL 33525
Phone (352) 567-6763

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1184895054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-299-1155",
            "fax_number": "863-299-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803054",
            "telephone_number": "863-299-1155",
            "fax_number": "863-299-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "COVE",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-299-1155"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME55374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.