Sunshine Ranch LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT18556 Issued in FL

Legal business name

SUNSHINE RANCH LLC

Practice address

17830 SW 280TH St
Homestead, FL 33031-3321

Phone

(786) 205-1191

NPI assigned

Jul 3, 2017

Organization subpart

No

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

Authorized official

Name

Maria Victoria Herrero, MOT

Title

Director

Phone

(786) 205-1191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1881115517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17830 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17830 SW 280TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313321",
            "telephone_number": "786-205-1191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17830 SW 280th St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330313321",
            "country_code": "US",
            "telephone_number": "786-205-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HERRERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-205-1191",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT18556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Homestead, FL
• Providers in Homestead, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.