Sunstate Managed Care Services, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNSTATE MANAGED CARE SERVICES, INC.

Practice address

5600 Mariner St
Suite 216
Tampa, FL 33609-3471

Phone

(813) 632-8861

NPI assigned

Sep 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Palavi Patel, M.D.

Title

President

Phone

(813) 632-8861

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1205185030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MARINER ST",
            "address_2": "SUITE 216",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093471",
            "telephone_number": "813-632-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MARINER ST",
            "address_2": "SUITE 216",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093471",
            "telephone_number": "813-632-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSTATE MANAGED CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PALAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-632-8861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Superior Genetix Health & Wellness, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.