Organization Active NPI

Sunshine Orthopedics & Spine LLC

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1861271157
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SUNSHINE ORTHOPEDICS & SPINE LLC
Practice address
6100 Kennerly Rd Ste 200
Jacksonville, FL 32216-4368
Phone
(904) 475-2114
NPI assigned
Sep 26, 2023
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Fady El-Bahri
Title
Owner
Phone
(904) 536-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

6100 Kennerly Rd Ste 200
Jacksonville, FL 32216-4368

Mailing address

6100 Kennerly Rd Ste 202
Jacksonville, FL 32216-4379

National Provider Directory

National Provider Directory

Locations

6100 Kennerly Rd
Ste 200
Jacksonville, FL 32216
Phone (904) 475-2114

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1861271157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164368",
            "telephone_number": "904-475-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE ORTHOPEDICS & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "EL-BAHRI",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-536-8331"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.