Suncoast Medical of Clermont

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SUNCOAST MEDICAL OF CLERMONT

Practice address

1705 E Hwy 50 Ste B
Clermont, FL 34711-5186

Phone

(352) 794-1734

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Verna

Title

Coo

Phone

(352) 794-1734

Specialties & licenses 1

Addresses

Other names 1

• Alliance Regenerative Medical Centers Doing business as

Locations

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1558190843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E HWY 50 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115186",
            "telephone_number": "352-794-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E HWY 50 STE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115186",
            "telephone_number": "352-794-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL OF CLERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "VERNA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "352-794-1734"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Regenerative Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanice Ann Sullivan, MSN,RN
• Summerville at Oak Park, LLC
• Summit Mental Health Services
• Sun and Moon Counseling LLC
• Suncoast Medical Central Florida LLC
• Yih-Tsyr Sung, DMD
• Sunrise Counseling Services, PLLC
• Sunshine Medical & Aesthetic Center Corporation
• Sunshine Oral Surgery II, P.a.
• Sunshine Therapy Group, PA

• Anesthesiology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.