Sun City Center Health and Wellness LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SUN CITY CENTER HEALTH AND WELLNESS LLC

Practice address

3040 E College Ave
Ruskin, FL 33570-5220

Phone

(813) 331-3940

Fax

(813) 331-3941

NPI assigned

Aug 19, 2014

Last updated

Aug 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eldridge McCormick, MD

Title

Medical Director

Phone

(813) 331-3940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 7

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.

• Woodlyne Arne

  • Gerontology Nurse Practitioner
  • Brandon, FL
  • NPI 1689480188
  Medicare reassignment Care Compare group NPD
• Jacqueline Frazer, ARNP

  • Nurse Practitioner
  • Ruskin, FL
  • NPI 1326660978
  Medicare reassignment Care Compare group NPD
• Amorcita Madridondo Dougherty, A.R.

  • Adult Health Nurse Practitioner
  • Ruskin, FL
  • NPI 1043694789
  Medicare reassignment Care Compare group
• Jessica Laurent, ARNP

  • Nurse Practitioner
  • Ellenton, FL
  • NPI 1073050688
  Medicare reassignment NPD
• Delani Lima, ARNP

  • Family Nurse Practitioner
  • Lakewood Ranch, FL
  • NPI 1114434354
  Medicare reassignment NPD
• Michelle Scott, MD

  • Hospitalist Physician
  • Riverside, IL
  • NPI 1154370385

  FL

  Medicare reassignment NPD
• Laura Jeanne Denovi, D.O.M, L.A.C

  • Acupuncturist
  • Brandon, FL
  • NPI 1205013364
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1871992545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E COLLEGE AVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705220",
            "telephone_number": "813-331-3940",
            "fax_number": "813-331-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E COLLEGE AVE",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705220",
            "telephone_number": "813-331-3940",
            "fax_number": "813-331-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY CENTER HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ELDRIDGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "813-331-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Squitieri, PT
• Lindsay Lastinger Sterry, DPT
• Monique Stevens
• Chelsea Sumi, PA-C
• Sun City Center Ambulatory Surgery Center, LLC (Sun City ASC)
• Sun City Center Integrative Medicine LLC
• Sun City Center Open MRI
• Sun Laboratory Services, Inc.
• Suncity Medical Center, LLC
• Suncoast Community Health Centers Inc

• General Practice Physician in Ruskin, FL
• Providers in Ruskin, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.