Active NPI
Cardiometabolic Primary Care, LLC
- Primary Care Nurse Practitioner
- Sun City Center, FL
National Provider Identifier
1780513697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- CARDIOMETABOLIC PRIMARY CARE, LLC
- Practice address
- 15407 Ibis Fall PL
Sun City Center, FL 33573-6782 - Phone
- (239) 692-1157
- NPI assigned
- May 16, 2026
- 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
- Guedry Edouard, NP
- Title
- Owner
- Phone
- (239) 692-1157
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
15407 Ibis Fall PL
Sun City Center, FL 33573-6782
Mailing address
1201 6TH Ave W Ste 100
Bradenton, FL 34205-7413
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine Nurse Practitioner
- Sun City Center, FL
- NPI 1174387724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778889600000",
"number": "1780513697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 6TH AVE W STE 100",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342057413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15407 IBIS FALL PL",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335736782",
"telephone_number": "239-692-1157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOMETABOLIC PRIMARY CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-16",
"last_updated": "2026-05-16",
"certification_date": "2026-05-16",
"status": "A",
"authorized_official_last_name": "EDOUARD",
"authorized_official_first_name": "GUEDRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-692-1157",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.