Sunshine Wellness Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUNSHINE WELLNESS GROUP LLC

Doing business as

Homosassa Open MRI

Practice address

8464 W Aquaduct St
Homosassa, FL 34448-2724

Phone

(936) 827-0666

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Moeaz Mazhir

Title

President

Phone

(936) 827-0666

Specialties & licenses 1

Addresses

Other names 1

• Homosassa Open MRI Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1811594153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327560005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8464 W AQUADUCT ST",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344482724",
            "telephone_number": "936-827-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MAZHIR",
        "authorized_official_first_name": "MOEAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-827-0666"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.homosassaopenmri.com/",
            "affiliation": "N",
            "address_1": "8464 W Aquaduct St",
            "city": "Homosassa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344482724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Homosassa Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sugar Mill Diagnostic Imaging LLC
• Sugarmill Health Care, LLC
• Sugmill Inc. (sugarmill manor)
• Kenyatta Summers, COTA
• Sun MD PLLC
• Beth Suss
• Ashton Sutphin
• Paul Sylvester
• Heather Tabor, PTA
• Kathryn Takacs, PT

• Clinic/Center in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Clinic/Center in Florida

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