Active NPI
Sunshine Assistant LLC
- Surgical Physician Assistant
- Lakeland, FL
National Provider Identifier
1760758643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9101680
- Legal business name
- SUNSHINE ASSISTANT LLC
- Practice address
- 6308 Prominence Point Drive
Lakeland, FL 33813-4491 - Phone
- (813) 376-3491
- Fax
- (813) 376-3491
- NPI assigned
- Mar 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alberto Nunez, PA
- Title
- President
- Phone
- (813) 376-3491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA9101680 | FL | Primary |
Addresses
Primary practice location
6308 Prominence Point Drive
Lakeland, FL 33813-4491
Mailing address
6308 Prominence Point Drive
Lakeland, FL 33813-4491
Phone (813) 376-3491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9101680 | Other | FL | LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332720000000",
"number": "1760758643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6308 PROMINENCE POINT DRIVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134491",
"telephone_number": "813-376-3491",
"fax_number": "813-376-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6308 PROMINENCE POINT DRIVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338134491",
"telephone_number": "813-376-3491",
"fax_number": "813-376-3491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE ASSISTANT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-26",
"last_updated": "2012-03-26",
"status": "A",
"authorized_official_last_name": "NUNEZ",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-376-3491",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "PA9101680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA9101680",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Sunny Days Therapy Services, LLC.
- Sunrise Community of Polk County, Inc.
- Sunrise Community of Polk County, Inc.
- Sunrise for a Happy Life Adc
- Sunrise Outreach Services
- Sunshine Care Partners Inc.
- Sunshine Care Partners of Florida
- Sunshine Health & Diagnostics LLC
- Sunshine Pharmacy Services LTD Co
- Sunshine State Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.