NPIMap

Organization Active NPI

Sunshine Pediatrics of Central Florida, PL

  • Pediatrics Physician
  • Maitland, FL
National Provider Identifier
1962411744
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME60714 Issued in FL
Legal business name
SUNSHINE PEDIATRICS OF CENTRAL FLORIDA, PL
Practice address
210 Lookout PL
Maitland, FL 32751-4491
Phone
(407) 215-0400
Fax
(407) 215-0402
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Richard G Rodriguez, M.D.NPI 1942264957
Title
Owner
Phone
(407) 215-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME60714 FL Primary

Addresses

Primary practice location

210 Lookout PL
Maitland, FL 32751-4491

Mailing address

210 Lookout PL
Maitland, FL 32751-4491
Phone (407) 215-0400

Other identifiers 2

IdentifierTypeStateIssuer
055953900MedicaidFL
1206414OtherFLUHC MEDICAID

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Pediatrics of Central FL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1962411744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514491",
            "telephone_number": "407-215-0400",
            "fax_number": "407-215-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOOKOUT PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514491",
            "telephone_number": "407-215-0400",
            "fax_number": "407-215-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS OF CENTRAL FLORIDA, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-215-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME60714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055953900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICAID",
            "identifier": "1206414",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.