Sunshine Thoracic Surgery PL

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME 101026 Issued in FL

Legal business name

SUNSHINE THORACIC SURGERY PL

Practice address

121 Webb Dr
Suite #300
Davenport, FL 33837-3904

Phone

(863) 422-0022

Fax

(863) 422-1005

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Joseph M Fugaro, M.D.

Title

Owner

Phone

(863) 422-0022

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1578734497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WEBB DR",
            "address_2": "SUITE #300",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-422-0022",
            "fax_number": "863-422-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WEBB DR",
            "address_2": "SUITE #300",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-422-0022",
            "fax_number": "863-422-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE THORACIC SURGERY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "FUGARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-422-0022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME 101026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281007700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201257300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sun Life Chiropractic and Injury Center LLC
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• Sunshine Perinatology Specialists, M.D., P.a.
• Sunshine Psychological Center LLC
• Supportive Space Home Care
• Surgeons of Central Florida LLC
• Steven Albert Sylvia, LCSW
• Jason Szymala, DO
• Mia Tabron

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.