NPIMap

Organization Active NPI

Sunshine Medical and Wellness Practice LLC

  • Primary Care Clinic/Center
  • Sunrise, FL
National Provider Identifier
1811701857
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC
Doing business as
Sunshine Medical and Wellness Practice LLC
Practice address
6765 Sunset Strip Ste 6
Sunrise, FL 33313-2894
Phone
(954) 572-7756
Fax
(954) 572-7799
NPI assigned
Feb 1, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNSHINE MEDICAL AND WELLNESS PRACTICE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Mr. Donald Pidugu, PANPI 1447629027
Title
Director
Phone
(305) 778-8725

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 Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6765 Sunset Strip Ste 6
Sunrise, FL 33313-2894

Mailing address

6765 Sunset Strip Ste 6
Sunrise, FL 33313-2894
Phone (954) 572-7756

Other names 1

  • SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Sunshine Medical and Wellness Practice LLC

Locations

6765 Sunset Strip
Ste 6
Sunrise, FL 33313
Phone (954) 572-7755

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1811701857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 SUNSET STRIP STE 6",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132894",
            "telephone_number": "954-572-7756",
            "fax_number": "954-572-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 SUNSET STRIP STE 6",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132894",
            "telephone_number": "954-572-7756",
            "fax_number": "954-572-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "PIDUGU",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-778-8725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SUNSHINE MEDICAL AND WELLNESS PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.