Shine Enterprise Equipment LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHINE ENTERPRISE EQUIPMENT LLC

Practice address

99 NW 183Rd St Ste 131
Miami Gardens, FL 33169-4555

Phone

(754) 946-6434

NPI assigned

Sep 11, 2024

Organization subpart

No

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

Authorized official

Name

Fidel Bermudez

Title

President

Phone

(754) 946-6434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1235965658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 131",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694555",
            "telephone_number": "754-946-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NW 183RD ST STE 131",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694555",
            "telephone_number": "754-946-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ENTERPRISE EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-946-6434"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.