Organization Active NPI

Sunny Medical PL, LLC.

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1336249606
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNNY MEDICAL PL, LLC.
Practice address
11183 S Orange Blossom TRL
Suite 204D
Orlando, FL 32837-9402
Phone
(407) 850-0103
Fax
(407) 850-9901
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Emilia Vives, M.D.
Title
Manager
Phone
(407) 850-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X FL Primary

Addresses

Primary practice location

11183 S Orange Blossom TRL
Suite 204D
Orlando, FL 32837-9402

Mailing address

11183 S Orange Blossom TRL
Suite 204D
Orlando, FL 32837-9402
Phone (407) 850-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101029000974 FL Part B Supplier - Clinic/Group Practice 4082619069 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0999051Sunny Medical PL11183 S Orange Blossom TRL Unit 204D, Orlando, FL 32837Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

11183 S Orange Blossom Trl
Ste 204D
Orlando, FL 32837
Phone (407) 850-0103

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1336249606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 204D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-850-0103",
            "fax_number": "407-850-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11183 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 204D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379402",
            "telephone_number": "407-850-0103",
            "fax_number": "407-850-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY MEDICAL PL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-850-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.