Individual provider Active NPI

Jean Flobert Suffrin

  • Adult Medicine Physician
  • Sunrise, FL
National Provider Identifier
1669064762
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
APRN11010832 Issued in FL
Practice address
9752 NW 37TH St
Sunrise, FL 33351-8603
Phone
(954) 594-2372
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X APRN11010832 FL Primary

Addresses

Primary practice location

9752 NW 37TH St
Sunrise, FL 33351-8603

Mailing address

9752 NW 37TH St
Sunrise, FL 33351-8603
Phone (954) 594-2372

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeansuffrin@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11010832FLMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1669064762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9752 NW 37TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518603",
            "telephone_number": "954-594-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9752 NW 37TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518603",
            "telephone_number": "954-594-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFRIN",
        "first_name": "JEAN",
        "middle_name": "FLOBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "APRN11010832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeansuffrin@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9752 NW 37th St",
            "city": "Sunrise",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333518603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.