NPIMap

Organization Active NPI

Sunlife OBGYN Services of South Florida, LLC

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1578052767
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUNLIFE OBGYN SERVICES OF SOUTH FLORIDA, LLC
Practice address
4101 NW 4TH St Ste 306
Plantation, FL 33317-2840
Phone
(954) 625-2229
NPI assigned
May 3, 2018
Organization subpart
Yes
Parent organization
SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Dr. Winston O. Bliss, MDNPI 1851407431
Title
President
Phone
(954) 522-2979

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4101 NW 4TH St Ste 306
Plantation, FL 33317-2840

Mailing address

4101 NW 4TH St Ste 306
Plantation, FL 33317-2840

Other practice location 1

2924 Davie Rd Ste 101
Davie, FL 33314-1615
Phone (954) 625-2229

National Provider Directory

National Provider Directory
Part of
Sunlife OB-GYN Services of Ft Lauderdale PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1578052767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 4TH ST STE 306",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172840",
            "telephone_number": "954-625-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Davie Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333141615",
            "country_code": "US",
            "telephone_number": "954-625-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNLIFE OBGYN SERVICES OF SOUTH FLORIDA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNLIFE OB-GYN SERVICES OF FT LAUDERDALE PA",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-522-2979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.