Sunshine Spine and Pain PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME84002 Issued in FL

Legal business name

SUNSHINE SPINE AND PAIN PA

Practice address

4788 Hodges Blvd Ste 105
Jacksonville, FL 32224-7223

Phone

(904) 651-8206

Fax

(904) 900-2221

NPI assigned

Feb 9, 2011

Last updated

Sep 3, 2025By 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

Samka Kurdija

Title

GM

Phone

(904) 525-2403

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sunshine Spine and Pain, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1124273529

  O20051014000154

  Same enrollment

Locations

Practitioners 2

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.

• Yvonne Derickson, ARNP, FNP-BC

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1003341280
  Medicare reassignment NPD
• Arkam Rehman, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1013920602
  Medicare reassignment NPD

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1215233184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919327",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328919327",
            "telephone_number": "904-651-8206",
            "fax_number": "904-900-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4788 HODGES BLVD STE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247223",
            "telephone_number": "904-651-8206",
            "fax_number": "904-900-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Kingsley Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734582",
            "country_code": "US",
            "telephone_number": "904-651-8206",
            "fax_number": "904-900-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE SPINE AND PAIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "KURDIJA",
        "authorized_official_first_name": "SAMKA",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "904-525-2403"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME84002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Medical Specialists, LLC
• Sunshine Mental Healthcare LLC
• Sunshine Orthopedics & Spine LLC
• Sunshine Provider Services
• Sunshine Speech LLC
• Sunshine Spine and Pain, PA
• Sunshine State Anesthesia Partners LLC
• Sunshine State Transport, LLC
• Sunshine Support Services
• Sunshine Support Services, LLC

• Specialist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.