SUNNY MEDICAL PL LLC. NPI 1336249606

NPI Information

NPI: 1336249606
Provider Name: SUNNY MEDICAL PL, LLC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0999051

Address:
11183 S ORANGE BLOSSOM TRL
SUITE 204D
ORLANDO, FL
ZIP 32837
Phone: (407) 850-0103
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SUNNY MEDICAL PL, LLC. is a primary care clinic center in Orlando, FL. SUNNY MEDICAL PL, LLC. NPI is 1336249606. The provider is registered as an organization entity type.

The provider's business location address is:

11183 S ORANGE BLOSSOM TRL
SUITE 204D
ORLANDO, FL
ZIP 32837-402
Phone: (407) 850-0103
Fax: (407) 850-9901

The provider's authorized official is Emilia Vives .
The authorized official title is Manager and has the following contact phone number (407) 850-0103.

The CLIA number assigned to this NPI record is 10D0999051 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 10/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H70141	MEDICARE UPIN	FLORIDA
2	K3806	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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