Sunshine Family Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUNSHINE FAMILY HEALTHCARE, LLC

Practice address

21 Hospital Dr Ste 280
Palm Coast, FL 32164-2456

Phone

(386) 986-6808

NPI assigned

Mar 8, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry D Leventhal, MDNPI 1558364265

Title

Owner / Physician

Phone

(386) 313-6420

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Atlantic Family Medicine PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sunshine Family Healthcare, LLC

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1235174095
  NPD tax ID

Practitioners 1

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.

• Jerry Leventhal, M.D.

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1558364265
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1437744794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR STE 280",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642456",
            "telephone_number": "386-313-6420",
            "fax_number": "386-313-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HOSPITAL DR STE 280",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642456",
            "telephone_number": "386-986-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "LEVENTHAL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "386-313-6420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15598000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rommelle Von Such, M.D.
• Breelyn Sugden
• Allyson Rae Suit, D.D.S.
• Jonathan M Sullivan, D.P.M.
• Sunshine Family Healthcare, LLC
• Sunshine Psychiatric Care LLC
• Susies Home LLC (Susie's Home)
• Robin Susser, PH.D.
• Sustainable Rehabilitation LLC
• Clarissa Swartzlander

• Family Medicine Physician in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.