Sun Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

477 Issued in FL

Legal business name

SUN MEDICAL SUPPLY, INC.

Practice address

1455 E Venice Ave
Venice, FL 34292-3075

Phone

(941) 486-8440

Fax

(941) 486-9068

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Miss Dean Kushim

Title

President

Phone

(941) 954-9066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306872809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 12TH ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342372701",
            "telephone_number": "941-954-9066",
            "fax_number": "941-953-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923075",
            "telephone_number": "941-486-8440",
            "fax_number": "941-486-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUSHIM",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-954-9066",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "M1066",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Stupp, O.D.
• Jay Stutz
• Jade Suggs
• Charles A Suleskey, DPM
• Summerville at Venice, LLC
• Suncoast Eyehealth P.a.
• Suncoast Oral Surgery & Periodontics
• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.
• Suncoast Orthotics and Prosthetics, Inc.
• Suncoast Pathology

• Durable Medical Equipment & Medical Supplies in Venice, FL
• Providers in Venice, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.