Sunshine Walk in Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUNSHINE WALK IN CLINIC

Practice address

5205 Babcock St NE
Suite 3
Palm Bay, FL 32905-4638

Phone

(321) 729-1400

Fax

(321) 728-5700

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Nageh S. Barsoum, MD

Title

President

Phone

(321) 729-1400

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Anita Gupta, MD

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1457332868
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1790948941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 BABCOCK ST NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054638",
            "telephone_number": "321-729-1400",
            "fax_number": "321-728-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 BABCOCK ST NE",
            "address_2": "SUITE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054638",
            "telephone_number": "321-729-1400",
            "fax_number": "321-728-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "NAGEH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-729-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264156900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264156901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Sullivan, APRN
• Natalie Jean Sullivan, PHD, CCC-SLP
• Victorya Summers-Adkins
• Sunny Days Adult Care
• Sunpalm Healthcare LLC
• Lovena Suson, P.T.
• Amber G Swan, PHARMD
• Michelle Swann, APRN
• Natalie Swartz, APRN
• Erinn Sweeney

• General Practice Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.