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Organization Active NPI

Sunrise Medical Supplyagency

  • Durable Medical Equipment & Medical Supplies
  • Spring Hill, FL
National Provider Identifier
1689807646
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNRISE MEDICAL SUPPLYAGENCY
Practice address
319 Dartmouth Ave
Spring Hill, FL 34606-5438
Phone
(352) 686-6483
Fax
(727) 489-6884
NPI assigned
Aug 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Kevin M Sullivan
Title
Owner
Phone
(386) 561-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

319 Dartmouth Ave
Spring Hill, FL 34606-5438

Mailing address

319 Dartmouth Ave
Spring Hill, FL 34606-5438
Phone (352) 686-6483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1689807646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 DARTMOUTH AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346065438",
            "telephone_number": "352-686-6483",
            "fax_number": "727-489-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 DARTMOUTH AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346065438",
            "telephone_number": "352-686-6483",
            "fax_number": "727-489-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL SUPPLYAGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-561-0077"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.