NPIMap

Organization Active NPI

Sunny Isles Medical Clinic

  • Medical Physician Assistant
  • Sunny Isles Beach, FL
National Provider Identifier
1942584172
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
SUNNY ISLES MEDICAL CLINIC
Practice address
17395 N Bay Rd
Ste 200
Sunny Isles Beach, FL 33160-3334
Phone
(305) 974-0430
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Mrs. Zhanna Zitsbank, PA-C
Title
Manager
Phone
(305) 974-0430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

17395 N Bay Rd
Ste 200
Sunny Isles Beach, FL 33160-3334

Mailing address

17395 N Bay Rd
Ste 200
Sunny Isles Beach, FL 33160-3334
Phone (305) 974-0430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1942584172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "STE 200",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "305-974-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "STE 200",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "305-974-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ISLES MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "ZITSBANK",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-974-0430",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.