Active NPI
Sunny Medical PL, LLC.
- Primary Care Clinic/Center
- Orlando, FL
National Provider Identifier
1336249606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0999051 | Sunny Medical PL | Certificate of waiver | May 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1346285293
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.