Organization Active NPI

Sunbelt Medical Services Group Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Valrico, FL
National Provider Identifier
1548955750
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUNBELT MEDICAL SERVICES GROUP CORP
Practice address
3104 Bent Creek Dr
Valrico, FL 33596-8289
Phone
(813) 245-3490
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Mr. Shawn Symonds
Title
Manager
Phone
(813) 245-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3104 Bent Creek Dr
Valrico, FL 33596-8289

Mailing address

3104 Bent Creek Dr
Valrico, FL 33596-8289
Phone (813) 245-3490

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1548955750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BENT CREEK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968289",
            "telephone_number": "813-245-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 BENT CREEK DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335968289",
            "telephone_number": "813-245-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNBELT MEDICAL SERVICES GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "SYMONDS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-245-3490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.