Plymouth-Sorrento Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PLYMOUTH-SORRENTO MEDICAL CENTER

Practice address

30844 Westridge Ter
Sorrento, FL 32776-9356

Phone

(352) 406-8583

NPI assigned

Dec 31, 2020

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Marie Alberte Labossiere, ARNPNPI 1083215271

Title

Owner

Phone

(352) 406-8583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Marie Alberte Labossiere

  • Family Nurse Practitioner
  • Sorrento, FL
  • NPI 1083215271
  Medicare reassignment Authorized official
• Adler Labossiere, APRN

  • Family Nurse Practitioner
  • Sorrento, FL
  • NPI 1083231591
  Medicare reassignment NPD

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1760070114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24013 SORRENTO AVE",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769356",
            "telephone_number": "352-406-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30844 WESTRIDGE TER",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769356",
            "telephone_number": "352-406-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH-SORRENTO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-01",
        "status": "A",
        "authorized_official_last_name": "LABOSSIERE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ALBERTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-406-8583",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kettelie Najac
• Igdalia Luisa Nieves
• Rose M Nunez, OTR/L
• Silvia Perez
• Gary Eugene Perigo, L.M.T.
• Windy Presy
• Progressive Medical Diagnostic Systems, LLC
• R & a Gupta LLC (Health Plus Pharmacy)
• Ronald E Holman, DDS,PA
• Rose Elder Care of Sorrento LLC (Rose Eldercare of Sorrento)

• Clinic/Center in Sorrento, FL
• Providers in Sorrento, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.