Sunshine Surgical and Wound Care LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUNSHINE SURGICAL AND WOUND CARE LLC

Practice address

210 Lake Ave
Orlando, FL 32801-3560

Phone

(877) 850-8762

Fax

(877) 480-9940

NPI assigned

Sep 13, 2018

Organization subpart

Yes

Parent organization

SUNSHINE SURGICAL AND WOUNDCARE LLCAs reported in NPPES

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

Authorized official

Name

Robert Marriott, MD

Title

Ceo

Phone

(310) 402-6811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • Lady Lake, FL
  • NPI 1861978652

  O20170710002574

  Same enrollment
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • North Bay Village, FL
  • NPI 1952843716

  O20170710002574

  Same enrollment
• Sunshine Surgical and Woundcare LLC

  • Surgery Physician
  • Boca Raton, FL
  • NPI 1588188635

  O20170710002574

  Same enrollment

Tax ID family

Sunshine Surgical and Wound4 organizations share this tax ID, including this one

Part of

Sunshine Surgical and Wound

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • Lady Lake, FL
  • NPI 1861978652
  NPD tax ID
• Sunshine Surgical and Wound Care LLC

  • Surgery Physician
  • North Bay Village, FL
  • NPI 1952843716
  NPD tax ID
• Sunshine Surgical and Woundcare LLC

  • Surgery Physician
  • Boca Raton, FL
  • NPI 1588188635
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Murray, APRN, FNP-C

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1952170623
  NPD
• Frank Ciminello, MD

  • Plastic and Reconstructive Surgery Physician
  • Newark, NJ
  • NPI 1699746875
  NPD
• David Dawei Zhu

  • General Practice Physician
  • Macon, GA
  • NPI 1619300241

  Surgery

  NPD

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1710460811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-850-8762",
            "fax_number": "877-480-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013560",
            "telephone_number": "877-850-8762",
            "fax_number": "877-480-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE SURGICAL AND WOUND CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE SURGICAL AND WOUNDCARE LLC",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "MARRIOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-402-6811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Speech Therapy, Inc.
• Sunshine State Medical
• Sunshine State Medical Inc
• Sunshine State Physicians Group, LLC
• Sunshine State Speech Specialists, Inc.
• James Morgan Sunshine, DDS
• Sunspire Health Florida, LLC
• Sunup Specialty Health, LLC
• Rachel Sup, OTR
• Super Saver Pharmacy 2 LLC

• Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.