S Dunkelberger DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059215 Issued in FL

Legal business name

S DUNKELBERGER DO LLC

Practice address

6801 Gulfport Blvd S.
Suite 6
Sout Pasadena, FL 33707

Phone

(727) 592-1919

Fax

(727) 800-6989

NPI assigned

Jul 29, 2017

Organization subpart

No

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

Authorized official

Name

Sherri L. Dunkelberger, D.O.NPI 1104897321

Title

Owner

Phone

(727) 592-1919

Specialties & licenses 1

Addresses

Other names 1

• G Roger Dunkelberger DO LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherri Dunkelberger, D.O.

  • Family Medicine Physician
  • South Pasadena, FL
  • NPI 1104897321
  NPD (past) Authorized official

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501286400000",
    "number": "1245754449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 GULFPORT BLVD S.",
            "address_2": "SUITE 6",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-592-1919",
            "fax_number": "727-800-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 GULFPORT BLVD S.",
            "address_2": "SUITE 6",
            "city": "SOUT PASADENA",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-592-1919",
            "fax_number": "727-800-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DUNKELBERGER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-29",
        "last_updated": "2017-07-29",
        "status": "A",
        "authorized_official_last_name": "DUNKELBERGER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-592-1919",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "059215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G Roger Dunkelberger DO LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2017; 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.