NPIMap

Organization Active NPI

Sunshine State Anesthesia Associates,P.L.

  • Specialist
  • Brandon, FL
National Provider Identifier
1396984688
Registry record updated Jan 4, 2012
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SUNSHINE STATE ANESTHESIA ASSOCIATES,P.L.
Practice address
201 Noland Dr
Suite a
Brandon, FL 33511
Phone
(352) 688-6393
Fax
(352) 688-1113
NPI assigned
Feb 11, 2009
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mrs. Jean M Sidhom
Title
Administrator
Phone
(813) 731-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

201 Noland Dr
Suite a
Brandon, FL 33511

Mailing address

PO Box 10390
Brooksville, FL 34603
Phone (352) 688-6393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1396984688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10390",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34603",
            "telephone_number": "352-688-6393",
            "fax_number": "352-688-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NOLAND DR",
            "address_2": "SUITE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33511",
            "telephone_number": "352-688-6393",
            "fax_number": "352-688-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE STATE ANESTHESIA ASSOCIATES,P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "SIDHOM",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-731-0416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.