Sunshine State Physicians Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME50492 Issued in FL

Legal business name

SUNSHINE STATE PHYSICIANS GROUP, LLC

Doing business as

Sunshine State Physicians Group

Practice address

9753 S Orange Blossom TRL
Suite 103
Orlando, FL 32837-7841

Phone

(407) 857-8679

Fax

(407) 857-8672

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sandra Lynne Austin, BSN, BSHA

Title

Director of Clinical Operations

Phone

(407) 857-8679

Specialties & licenses 2

Addresses

Other names 1

• Sunshine State Physicians Group Doing business as

Locations

Practitioners 2

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.

• Stephen Henry Canuel, D.C

  • Chiropractor
  • West Melbourne, FL
  • NPI 1902815921
  NPD (past)
• Anthony Rafael De Los Santos, D.C.

  • Chiropractor
  • Melbourne, FL
  • NPI 1326371857
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1346594868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377841",
            "telephone_number": "407-857-8679",
            "fax_number": "407-857-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL",
            "address_2": "SUITE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377841",
            "telephone_number": "407-857-8679",
            "fax_number": "407-857-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE PHYSICIANS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "407-857-8679",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, BSHA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10505",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME50492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine State Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunshine Psychological Therapy LLC
• Sunshine Specialty Health Care, LLC
• Sunshine Speech Therapy, Inc.
• Sunshine State Medical
• Sunshine State Medical Inc
• Sunshine State Speech Specialists, Inc.
• Sunshine Surgical and Wound Care LLC
• James Morgan Sunshine, DDS
• Sunspire Health Florida, LLC (WhiteSands Alcohol & Drug Rehab Orlando)
• Sunup Specialty Health, LLC

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.