Organization Active NPI

Sunshine Home Physicians, LLC

  • Internal Medicine Physician
  • Largo, FL
National Provider Identifier
1346395688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0071110 Issued in FL
Legal business name
SUNSHINE HOME PHYSICIANS, LLC
Practice address
12360 66TH St
Suite V1
Largo, FL 33773-3434
Phone
(727) 530-4606
Fax
(727) 231-0734
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda Prieto, MDNPI 1851393284
Title
Owner
Phone
(727) 530-4606

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0071110 FL Primary

Addresses

Primary practice location

12360 66TH St
Suite V1
Largo, FL 33773-3434

Mailing address

12360 66TH St
Suite V1
Largo, FL 33773-3434
Phone (727) 530-4606

Other identifiers 1

IdentifierTypeStateIssuer
2016545903OtherTAX IDENTIFICATION

National Provider Directory

National Provider Directory

Locations

12360 66th St
Ste V1
Largo, FL 33773
Phone (727) 530-4606

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346395688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 66TH ST",
            "address_2": "SUITE V1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-530-4606",
            "fax_number": "727-231-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 66TH ST",
            "address_2": "SUITE V1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337733434",
            "telephone_number": "727-530-4606",
            "fax_number": "727-231-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HOME PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-530-4606",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "2016545903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • 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.