Sun State Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME88739 Issued in FL

Legal business name

SUN STATE MEDICAL GROUP INC

Practice address

1403 Medical Plaza Dr
Suite 207
Sanford, FL 32771-1000

Phone

(407) 365-6722

NPI assigned

Sep 14, 2007

Last updated

Sep 28, 2009By 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. Victor Ragu Roberts, M.DNPI 1972524189

Title

President

Phone

(407) 427-4906

Specialties & licenses 1

Addresses

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.

• Victor Ragu Roberts, M.D

  • Internal Medicine Physician
  • Sanford, FL
  • NPI 1972524189
  Authorized official Same address or phone

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1477749224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-365-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 MEDICAL PLAZA DR",
            "address_2": "SUITE 207",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711000",
            "telephone_number": "407-365-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN STATE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "RAGU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-427-4906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME88739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Sullivan IV
• Susan Cherie Sult, PH. D.
• Elaine Summers, LMFT
• Summit Counseling
• Angela Sumrall, COTA
• Sunshine Caregivers LLC
• Sunshine Dentistry LLC
• Sunshine Pharmacy of Sanford LLC (sunshine pharmacy)
• Shannon Sweeney, LMFT
• Jon F Sweet, MD

• Internal Medicine Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.