Organization Active NPI

Sunrise Medical Center of Florida

  • Internal Medicine Physician
  • Sweetwater, FL
National Provider Identifier
1447868633
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNRISE MEDICAL CENTER OF FLORIDA
Practice address
1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733
Phone
(305) 887-2252
Fax
(786) 693-8488
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Blanca I Bruzon, ARNP
Title
President
Phone
(305) 887-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733

Mailing address

1460 NW 107TH Ave Ste a
Sweetwater, FL 33172-2733
Phone (305) 887-2252

National Provider Directory

National Provider Directory

Locations

1460 NW 107th Ave
Ste A
Sweetwater, FL 33172
Phone (305) 887-2252

Practitioners & affiliated clinicians

Practitioners 1

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": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1447868633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NW 107TH AVE STE A",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722733",
            "telephone_number": "305-887-2252",
            "fax_number": "786-693-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NW 107TH AVE STE A",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722733",
            "telephone_number": "305-887-2252",
            "fax_number": "786-693-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL CENTER OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "BRUZON",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-887-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.