Active NPI
Sun and Sea Medical PLLC
- Health Service Clinic/Center
- St Petersburg, FL
National Provider Identifier
1942077383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SUN AND SEA MEDICAL PLLC
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702-4399 - Phone
- (954) 489-8895
- NPI assigned
- Dec 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin Jones
- Title
- Registered Agent
- Phone
- (813) 575-1161
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Mailing address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240507000223 | FL | Part B Supplier - Clinic/Group Practice | 2961842026 | Practice locations: Fort Lauderdale, FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1942077383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "954-489-8895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN AND SEA MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-06",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ROBIN",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "813-575-1161"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
- Summit Living LLC
- Summit Path Mental Health Limited Liability Company
- Alexandra Christine Summitt, D.N.P.
- Nancy Virginia Summitt, CRNA
- Richard Ellis Sumner, M.D.
- Sun City Fitness, LLC (Core Strength Physical Therapy)
- Suncoast Center
- Suncoast Center Enterprises, Inc. (Sun-E-Care)
- Suncoast Center for Community Mental Health (Suncoast Center Senior Support)
- Suncoast Center for Community Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.