Organization Active NPI

Sunshine Family Medicine Inc

  • Family Medicine Physician
  • Clewiston, FL
National Provider Identifier
1992926182
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SUNSHINE FAMILY MEDICINE INC
Practice address
115 S Gloria St
Clewiston, FL 33440-3505
Phone
(863) 983-2282
Fax
(863) 983-2864
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Laura Jones, MDNPI 1659395630
Title
Physician, Office Manager
Phone
(863) 983-2282

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

115 S Gloria St
Clewiston, FL 33440-3505

Mailing address

PO Box 1795
Clewiston, FL 33440-1795
Phone (863) 983-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122000172 FL Part B Supplier - Clinic/Group Practice 2769384668 Receives reassigned benefits from 2 practitioners
Practice locations: Clewiston, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1006014Sunshine Family Medicine Inc115 S Gloria Street, Clewiston, FL 33440Certificate of waiverNov 5, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1992926182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1795",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334401795",
            "telephone_number": "863-983-2282",
            "fax_number": "863-983-2864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S GLORIA ST",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403505",
            "telephone_number": "863-983-2282",
            "fax_number": "863-983-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICIAN, OFFICE MANAGER",
        "authorized_official_telephone_number": "863-983-2282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.