NPIMap

Organization Active NPI

Sunshine Telemedicine, Inc.

  • General Practice Physician
  • Melbourne, FL
National Provider Identifier
1457032294
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SUNSHINE TELEMEDICINE, INC.
Practice address
1572 Laramie Cir
Melbourne, FL 32940-6371
Phone
(321) 543-4077
Fax
(321) 559-6644
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. Nageh S. Barsoum, MDNPI 1568462083
Title
President
Phone
(321) 543-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1572 Laramie Cir
Melbourne, FL 32940-6371

Mailing address

1572 Laramie Cir
Melbourne, FL 32940-6371
Phone (321) 544-7870

National Provider Directory

National Provider Directory

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": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1457032294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 LARAMIE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406371",
            "telephone_number": "321-544-7870",
            "fax_number": "321-559-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 LARAMIE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406371",
            "telephone_number": "321-543-4077",
            "fax_number": "321-559-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE TELEMEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "NAGEH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-543-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.