Organization Active NPI

Sunshine Healthcare Group, LLC

  • Internal Medicine Physician
  • Riviera Beach, FL
National Provider Identifier
1457935033
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUNSHINE HEALTHCARE GROUP, LLC
Practice address
1665 Martin Luther King Jr Blvd Ste 12a
Riviera Beach, FL 33404-7126
Phone
(561) 267-1447
Fax
(561) 763-7380
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Mr. Jamal Ghanem
Title
Authorized Official
Phone
(561) 267-1447

Specialties & licenses 1

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

Addresses

Primary practice location

1665 Martin Luther King Jr Blvd Ste 12a
Riviera Beach, FL 33404-7126

Mailing address

PO Box 10868
Riviera Beach, FL 33419-0868
Phone (561) 267-1447

National Provider Directory

National Provider Directory

Locations

1665 Martin Luther King Jr Blvd
Ste 12A
Riviera Beach, FL 33404
Phone (561) 267-1447

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": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1457935033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10868",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334190868",
            "telephone_number": "561-267-1447",
            "fax_number": "561-763-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 MARTIN LUTHER KING JR BLVD STE 12A",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334047126",
            "telephone_number": "561-267-1447",
            "fax_number": "561-763-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-267-1447",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.