Sunshine Medical Institute LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

HCC5249 Issued in FL

Legal business name

SUNSHINE MEDICAL INSTITUTE LLC

Practice address

5124 Hollywood Blvd
Hollywood, FL 33021-6518

Phone

(954) 961-9777

Fax

(954) 987-3777

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Jesenia Bosch

Title

President

Phone

(954) 961-9777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710916879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216518",
            "telephone_number": "954-961-9777",
            "fax_number": "954-987-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216518",
            "telephone_number": "954-961-9777",
            "fax_number": "954-987-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSCH",
        "authorized_official_first_name": "JESENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-961-9777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCC5249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunshine Health Supplies LLC
• Sunshine Kids Pediatric Care LLC Hollywood Therapy
• Sunshine Kids Pediatric Care, LLC
• Sunshine Pediatric Dentistry PA
• Sunshine Therapy Partners
• Superior Stores Discount Distributors, Inc. (Surgical World)
• Supported Strength, LLC
• Supportive ABA Therapy de LLC

• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.