Sugar 10 LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SUGAR 10 LLC

Practice address

541 S Orlando Ave Ste 306
Maitland, FL 32751-5669

Phone

(407) 529-4257

NPI assigned

Apr 6, 2019

Organization subpart

No

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

Authorized official

Name

Hiep Q Le

Title

Chief Operating Officer

Phone

(407) 529-4257

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1831651967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S ORLANDO AVE STE 306",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515669",
            "telephone_number": "407-529-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S ORLANDO AVE STE 306",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515669",
            "telephone_number": "407-529-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGAR 10 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HIEP",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "407-529-4257"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedrica Streeter, PTA
• Paige Strickland, MS, BCBA
• Michelle Stromberg
• Mariann Suarez, PH.D, LP
• Tara Suarez
• Jennifer Sullivan, MS, CCC-SLP
• Marla Teresa Sullivan
• Michelle L Sullivan, LMHC
• Zhyani Sullivan
• Andrew G Summers, MD

• Cardiovascular Disease Physician in Maitland, FL
• Providers in Maitland, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.