NPIMap

Organization Active NPI

Sunshine Neurology PA

  • Neurology Physician
  • Sun City Center, FL
National Provider Identifier
1720172604
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME95909 Issued in FL
Legal business name
SUNSHINE NEUROLOGY PA
Practice address
1901 Haverford Plaza
Suite 109
Sun City Center, FL 33573
Phone
(813) 634-3500
Fax
(813) 634-4900
NPI assigned
Oct 3, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Kamlesh P Patel, MDNPI 1417990524
Title
MD
Phone
(813) 634-3500

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
Neurology Physician 2084N0400X ME95909 FL Primary

Addresses

Primary practice location

1901 Haverford Plaza
Suite 109
Sun City Center, FL 33573

Mailing address

1901 Haverford Plaza
Suite 109
Sun City Center, FL 33573
Phone (813) 634-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000426 FL Part B Supplier - Clinic/Group Practice 1759486384 Receives reassigned benefits from 7 practitioners
Practice locations: Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

1901 Haverford Ave
Ste 109
Sun City Ctr, FL 33573
Phone (813) 634-0664

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1720172604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD PLAZA",
            "address_2": "SUITE 109",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-634-3500",
            "fax_number": "813-634-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD PLAZA",
            "address_2": "SUITE 109",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "33573",
            "telephone_number": "813-634-3500",
            "fax_number": "813-634-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KAMLESH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "813-634-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME95909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.