Organization Active NPI

Sunshine Physician Associates LLC

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1760627566
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 92513 Issued in FL
Legal business name
SUNSHINE PHYSICIAN ASSOCIATES LLC
Practice address
4755 Summerlin Rd
# 8
Fort Myers, FL 33919-1073
Phone
(239) 275-5339
Fax
(239) 275-5592
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Migdalia Valentin, M.D.,
Title
Office Manager
Phone
(239) 275-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME 92513 FL Primary

Addresses

Primary practice location

4755 Summerlin Rd
# 8
Fort Myers, FL 33919-1073

Mailing address

4755 Summerlin Rd
Ste 8
Fort Myers, FL 33919-1073
Phone (239) 565-3010

Other identifiers 1

IdentifierTypeStateIssuer
ME 92513OtherFLFLORIDA MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

12734 Kenwood Ln
Ste 32
Fort Myers, FL 33907
Phone (239) 274-8005

14090 Metropolis Ave
Ste 102
Fort Myers, FL 33912
Phone (239) 313-7522

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1760627566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD",
            "address_2": "STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "239-565-3010",
            "fax_number": "239-275-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 SUMMERLIN RD",
            "address_2": "# 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339191073",
            "telephone_number": "239-275-5339",
            "fax_number": "239-275-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PHYSICIAN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-275-5339",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 92513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME 92513",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.