Sun Surgical, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME102679 Issued in FL

Legal business name

SUN SURGICAL, LLC

Practice address

245 NE 19TH Dr
Okeechobee, FL 34972-1933

Phone

(863) 357-0045

Fax

(863) 357-0041

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Philip W Moyer, M.D.

Title

Owner

Phone

(863) 357-0045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1407082472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-357-0045",
            "fax_number": "863-357-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-357-0045",
            "fax_number": "863-357-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-357-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME102679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Townsend Starnes, RN
• Peter William Stephens, DC
• Katarina Suarez
• Leah Suarez, M.N.M., C.N.P.
• Stephanie Sullivan
• Suncoast Mental Health Center, Inc.
• Suncoast Mental Health Center, Inc.
• Suncoast Mental Health Ctr.
• Sunrise Family Practice LLC
• Surgery Center of Okeechobee, LLC

• Surgery Physician in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.