Organization Active NPI

Sunrise Supply Resource LLC

  • Durable Medical Equipment & Medical Supplies
  • Ft Lauderdale, FL
National Provider Identifier
1770100869
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNRISE SUPPLY RESOURCE LLC
Practice address
1975 E Sunrise Blvd Ste 608
Ft Lauderdale, FL 33304-1453
Phone
(561) 437-6669
NPI assigned
Jul 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Anthony Vespucci
Title
Owner
Phone
(561) 437-6669

Specialties & licenses 1

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

Addresses

Primary practice location

1975 E Sunrise Blvd Ste 608
Ft Lauderdale, FL 33304-1453

Mailing address

1975 E Sunrise Blvd Ste 608
Ft Lauderdale, FL 33304-1453
Phone (561) 437-6669

National Provider Directory

National Provider Directory

Locations

1975 E Sunrise Blvd
Ste 608
Ft Lauderdale, FL 33304
Phone (561) 437-6669

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1770100869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD STE 608",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041453",
            "telephone_number": "561-437-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 E SUNRISE BLVD STE 608",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041453",
            "telephone_number": "561-437-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE SUPPLY RESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "VESPUCCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-437-6669"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.