Organization Active NPI

Sunrise Wellness Center LLC

  • Emergency Medicine Physician
  • Sunrise, FL
National Provider Identifier
1295137487
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SUNRISE WELLNESS CENTER LLC
Practice address
777 Shotgun Rd
Sunrise, FL 33326-1940
Phone
(800) 219-7212
Fax
(800) 219-7213
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
David Krop
Title
Manager
Phone
(800) 219-7212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

777 Shotgun Rd
Sunrise, FL 33326-1940

Mailing address

777 Shotgun Rd
Sunrise, FL 33326-1940
Phone (800) 219-7212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1295137487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SHOTGUN RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261940",
            "telephone_number": "800-219-7212",
            "fax_number": "800-219-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SHOTGUN RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333261940",
            "telephone_number": "800-219-7212",
            "fax_number": "800-219-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "KROP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-219-7212"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.