Active NPI
Sunshine Rehab and Wellness Center LLC
- Family Nurse Practitioner
- Lake Worth, FL
National Provider Identifier
1801330485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SUNSHINE REHAB AND WELLNESS CENTER LLC
- Practice address
- 4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725 - Phone
- (561) 452-8563
- NPI assigned
- Dec 15, 2016
- 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
- Lynda Germeil, ARNP
- Title
- Manager
- Phone
- (561) 530-3469
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 9182389 | FL | |
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725
Mailing address
4175 S Congress Ave
Suite D
Lake Worth, FL 33461-4725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012166-00 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4175 S Congress Ave
Ste D
Palm Springs, FL 33461
Phone (561) 331-8633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544313600000",
"number": "1801330485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 S CONGRESS AVE",
"address_2": "SUITE D",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 S CONGRESS AVE",
"address_2": "SUITE D",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334614725",
"telephone_number": "561-452-8563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE REHAB AND WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-15",
"last_updated": "2018-12-09",
"status": "A",
"authorized_official_last_name": "GERMEIL",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "561-530-3469",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "FL",
"license": "9182389",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012166-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
- Sunrise Detoxification Center, LLC
- Sunrise Diagnostics Group, LLC
- Sunshine Medical Systems Associates LLC
- Sunshine Psychiatric Systems Associates LLC
- Sunshine Quality Care, LLC
- Sunshine State Home Health, Inc.
- Sunshine Wellness Center of Lake Worth, Inc
- Superior Elder Care, LLC
- Supreme Care Dental Associates, LLC
- Surgery Center of Atlantis LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.