Sunshine Interventional Pain and Wellness Center LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC

Practice address

260 Lookout PL Ste 202
Maitland, FL 32751-4485

Phone

(689) 208-0092

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Todd Mautner, DO

Title

Managing Member

Phone

(689) 208-0092

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1669123113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 E 9TH ST UNIT 1706F",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441151335",
            "telephone_number": "813-928-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOOKOUT PL STE 202",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514485",
            "telephone_number": "689-208-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "MAUTNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "689-208-0092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhyani Sullivan
• Andrew G Summers, MD
• Zachary Summers, DPT
• Summerwood Home Health Services of District 7, LLC (Palm Garden Home Health)
• Sun State Dermatology, LLC
• Sunshine Pediatrics of Central Florida
• Sunshine Pediatrics of Central Florida, PL
• Stefanie Supenia, RCSWI
• Aravinthan Suppiah, M.B:CH.B
• Supporting Independence Inc

• Interventional Pain Medicine Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.