Organization Active NPI

Sunshine Medical & Aesthetic Center Corporation

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1982217709
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNSHINE MEDICAL & AESTHETIC CENTER CORPORATION
Practice address
2113 Ruby Red Blvd Ste a
Clermont, FL 34714-6115
Phone
(407) 326-6470
Fax
(407) 360-9146
NPI assigned
Aug 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Valeska Jones
Title
President
Phone
(407) 326-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2113 Ruby Red Blvd Ste a
Clermont, FL 34714-6115

Mailing address

2113 Ruby Red Blvd Ste a
Clermont, FL 34714-6115
Phone (407) 326-6470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1982217709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "407-326-6470",
            "fax_number": "407-360-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 RUBY RED BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347146115",
            "telephone_number": "407-326-6470",
            "fax_number": "407-360-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE MEDICAL & AESTHETIC CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VALESKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-326-6470"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.