Organization Active NPI

Sunshine Assistant LLC

  • Surgical Physician Assistant
  • Lakeland, FL
National Provider Identifier
1760758643
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9101680 Issued in FL
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

Updated by the provider on Mar 26, 2012

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PA9101680OtherFLLICENSE

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.