Organization Active NPI

Sunset Medical Care, LLC

  • Family Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1679574651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0062738 Issued in FL
Legal business name
SUNSET MEDICAL CARE, LLC
Practice address
6560 9TH Ave N
St Petersburg, FL 33710-6216
Phone
(727) 384-4060
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Julije Vucemilovic, MDNPI 1053318329
Title
Owner
Phone
(727) 384-4080

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME0062738 FL Primary

Addresses

Primary practice location

6560 9TH Ave N
St Petersburg, FL 33710-6216

Mailing address

PO Box 2832
Lakeland, FL 33806-2832
Phone (727) 384-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000006 FL Part B Supplier - Clinic/Group Practice 4183687361 Receives reassigned benefits from 4 practitioners
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

2984 Allegra Way
Lutz, FL 33559
Phone (813) 510-6090

6560 9th Ave N
St Petersburg, FL 33710
Phone (727) 384-4060

Practitioners & affiliated clinicians

Practitioners 6

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679574651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2832",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338062832",
            "telephone_number": "727-384-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106216",
            "telephone_number": "727-384-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VUCEMILOVIC",
        "authorized_official_first_name": "JULIJE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-384-4080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0062738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.