Organization Active NPI

Solsun Medical Inc

  • Family Medicine Physician
  • Fort Lauderdale, FL
National Provider Identifier
1356531065
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0003995 Issued in FL
Legal business name
SOLSUN MEDICAL INC
Practice address
1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033
Phone
(954) 627-9118
Fax
(954) 627-9822
NPI assigned
Jul 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Donald D Fisher, DO
Title
Owner
Phone
(954) 627-9118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0003995 FL Primary

Addresses

Primary practice location

1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033

Mailing address

1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033
Phone (954) 627-9118

National Provider Directory

National Provider Directory

Locations

2817 E Oakland Park Blvd
Ste 422
Fort Lauderdale, FL 33306
Phone (954) 302-3830

Practitioners & affiliated clinicians

Practitioners 3

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": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1356531065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041033",
            "telephone_number": "954-627-9118",
            "fax_number": "954-627-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041033",
            "telephone_number": "954-627-9118",
            "fax_number": "954-627-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLSUN MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-29",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-627-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0003995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.