Sunrise Medical Group IV LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

SUNRISE MEDICAL GROUP IV LLC

Practice address

7369 Sheridan Street
Suite 302B
Hollywood, FL 33024

Phone

(954) 981-3700

NPI assigned

Aug 5, 2011

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Koury

Title

SVP Regional Operations, Tenet

Phone

(714) 428-6842

Specialties & licenses 1

Addresses

Other names 1

• TENET FLORIDA PHYSICIAN SERVICES Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211

  Member Of

  NPD member

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1184903320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 ROSS AVENUE",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75202",
            "telephone_number": "954-509-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHERIDAN STREET",
            "address_2": "SUITE 302B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-981-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "KOURY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "714-428-6842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TENET FLORIDA PHYSICIAN SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sunny Isles Health Center, Inc.
• Sunrise Diagnostics, LLC
• Sunrise Medical Group I, LLC
• Sunrise Medical Group II LLC
• Sunrise Medical Group Inc
• Sunrise Pulmonary Group Inc
• Sunrise Sleep Diagnostics Inc
• Sunset Case Management Service Corp
• Sunshine Health Supplies LLC
• Sunshine Kids Pediatric Care LLC Hollywood Therapy

• Sleep Medicine (Internal Medicine) Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Sleep Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.