Organization Active NPI

Sunshine Team Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1730295312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNSHINE TEAM SUPPLY INC
Practice address
18710 SW 107TH Ave
Suite 24
Miami, FL 33157-6742
Phone
(305) 278-4496
Fax
(305) 278-4497
NPI assigned
Aug 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eredio Prieto
Title
President
Phone
(305) 278-4496

Specialties & licenses 1

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

Addresses

Primary practice location

18710 SW 107TH Ave
Suite 24
Miami, FL 33157-6742

Mailing address

18710 SW 107TH Ave
Suite 24
Miami, FL 33157-6742
Phone (305) 278-4496

Other identifiers 2

IdentifierTypeStateIssuer
1313078OtherFLHME STATE LICENSE
3204744OtherFLOXYGEN RETAILER

National Provider Directory

National Provider Directory

Locations

18710 SW 107th Ave
Unit 24
Cutler Bay, FL 33157
Phone (305) 278-4496

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730295312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 SW 107TH AVE",
            "address_2": "SUITE 24",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576742",
            "telephone_number": "305-278-4496",
            "fax_number": "305-278-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 SW 107TH AVE",
            "address_2": "SUITE 24",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576742",
            "telephone_number": "305-278-4496",
            "fax_number": "305-278-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE TEAM SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "EREDIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-278-4496"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HME STATE LICENSE",
            "identifier": "1313078",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXYGEN RETAILER",
            "identifier": "3204744",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • 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.