Active NPI
Sun City Center Integrative Medicine LLC
- Internal Medicine Physician
- Ruskin, FL
National Provider Identifier
1689097479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME74515
- Legal business name
- SUN CITY CENTER INTEGRATIVE MEDICINE LLC
- Practice address
- 3040 E College Ave
Ruskin, FL 33570-5220 - Phone
- (813) 331-3940
- Fax
- (813) 331-3941
- NPI assigned
- Jan 29, 2014
- Last updated
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chaker M Dahan, M.D.
- Title
- Medical Director
- Phone
- (813) 331-3940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME74515 | FL | Primary |
Addresses
Primary practice location
3040 E College Ave
Ruskin, FL 33570-5220
Mailing address
3040 E College Ave
Ruskin, FL 33570-5220
Phone (813) 331-3940
National Provider Directory
National Provider DirectoryLocations
3040 State Road 674
Ruskin, FL 33570
Phone (813) 331-3940
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acupuncturist
- Winter Haven, FL
- NPI 1649694647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1689097479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 E COLLEGE AVE",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335705220",
"telephone_number": "813-331-3940",
"fax_number": "813-331-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 E COLLEGE AVE",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335705220",
"telephone_number": "813-331-3940",
"fax_number": "813-331-3941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN CITY CENTER INTEGRATIVE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-29",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "DAHAN",
"authorized_official_first_name": "CHAKER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "813-331-3940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME74515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruskin, FL
- Lindsay Lastinger Sterry, DPT
- Monique Stevens
- Chelsea Sumi, PA-C
- Sun City Center Ambulatory Surgery Center, LLC (Sun City ASC)
- Sun City Center Health and Wellness LLC
- Sun City Center Open MRI
- Sun Laboratory Services, Inc.
- Suncity Medical Center, LLC
- Suncoast Community Health Centers Inc
- Suncoast Community Health Centers Inc (Ruskin Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.