Organization Active NPI

Cardiometabolic Primary Care, LLC

  • Primary Care Nurse Practitioner
  • Sun City Center, FL
National Provider Identifier
1780513697
Registry record updated May 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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

Updated by the provider on May 16, 2026

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

Authorized official

Name
Guedry Edouard, NPNPI 1174387724
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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.