Active NPI
Sunshine Family Medical Center, LLC
- General Practice Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SUNSHINE FAMILY MEDICAL CENTER, LLC
- Practice address
- 3333 W Commercial Blvd Ste 115B
Fort Lauderdale, FL 33309-3441 - Phone
- (954) 510-3638
- Fax
- (754) 263-5518
- NPI assigned
- Dec 30, 2024
- Last updated
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kervie Dorval, APRN
- Title
- Manager
- Phone
- (954) 607-5540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3333 W Commercial Blvd Ste 115B
Fort Lauderdale, FL 33309-3441
Mailing address
3333 W Commercial Blvd Ste 115B
Fort Lauderdale, FL 33309-3441
Phone (954) 607-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3333 W Commercial Blvd
Ste 115B
Fort Lauderdale, FL 33309
Phone (954) 510-3638
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Nurse Practitioner
- Miramar, FL
- NPI 1306360839
-
- Family Nurse Practitioner
- Oakland Park, FL
- NPI 1629436985
-
- Adult Medicine Physician
- Oakland Park, FL
- NPI 1699390336
-
- Medical Physician Assistant
- North Miami, FL
- NPI 1891784179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1306655840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 W COMMERCIAL BLVD STE 115B",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093441",
"telephone_number": "954-607-5540",
"fax_number": "754-263-5518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W COMMERCIAL BLVD STE 115B",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093441",
"telephone_number": "954-510-3638",
"fax_number": "754-263-5518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE FAMILY MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-30",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "DORVAL",
"authorized_official_first_name": "KERVIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-607-5540",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Sunrise Radiology Service LLC
- Sunrise Senior Care
- Sunrise Senior Village
- Sunrise Senior Village Assisted Living Inc
- Sunrise Supply Resource LLC
- Sunshine Kids Pediatric Care FLL, LLC
- Sunshine Kids Pediatric Care, LLC, FLL, Therapy
- Sunshine Readers, Inc.
- Sunshine Senior Assisted Living
- Sunshine Social Services, Inc. (SunServe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.