SON SHINE FOOT AND ANKLE CENTER INC (NPI# 1063459675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063459675 |
| Entity Type | Organization |
| Organization Name | SON SHINE FOOT AND ANKLE CENTER INC |
| Practice Address |
1405 Se Goldtree Dr Suite B Port St Lucie FL 34952-7563 |
| Mailing Address |
Po Box 8210 Port St Lucie FL 34985-8210 |
| Practice Telephone | 7723800900 |
| Practice Fax Number | 7723800901 |
| Mailing Telephone | 7723800900 |
| Mailing Fax Number | 7723800901 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | DR. ALBERT ANDREW DERRICO (PHYSICIAN) |
| Authorized Official Telephone | 7723800900 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO2649 | FL | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1405 SE GOLDTREE DR SUITE B |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-7563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477809424 | Neuroscience and Sleep Disorders Center | Clinic/Center | 1405 Se Goldtree Dr, Suite B, Port St Lucie, FL 34952-7563 | 2012-07-27 |
| 1275781635 | Faith Sapio Documento | Physical Therapist | 1405 Se Goldtree Dr, Suite D, Port St Lucie, FL 34952-7563 | 2008-08-28 |
| 1619033362 | Wholistic Medicine Clin | Clinic/Center | 1405 Se Goldtree Dr, Suite D, Port St Lucie, FL 34952-7563 | 2006-12-28 |
| 1336187988 | Sonshine Ambulatory Care Center | General Practice | 1405 Se Goldtree Dr, Suite # C, Port St Lucie, FL 34952-7563 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639481765 | Michael Doss | Podiatrist | 1696 Se Hillmoor Dr Ste A, Port St Lucie, FL 34952-7699 | 2010-07-06 |
| 1851393599 | Douglas H. Kahn | Podiatrist | 1696 Se Hillmoor Dr # Td, Ste B, Port St Lucie, FL 34952-7699 | 2005-08-12 |
| 1881127348 | Josh Sebag | Podiatrist | 7710 S Us Highway 1, Port St Lucie, FL 34952-2320 | 2017-04-11 |
| 1871943407 | Natalia Cardona | Podiatrist | 1846 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2016-06-14 |
| 1063861979 | Kristopher P Jerry | Podiatrist | 1846 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2016-06-10 |
| 1043438831 | Michael A Garvin Dpm Pa | Podiatrist | 1791 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5479 | 2007-04-24 |
| 1164649117 | Michael A Garvin Dpm Pa | Podiatrist | 150 Sw Chamber Ct, Suite 101, Port St Lucie, FL 34986-3413 | 2007-04-19 |
| 1013957166 | Michael Allen Garvin | Podiatrist | 1791 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5479 | 2006-06-07 |
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| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on SON SHINE FOOT AND ANKLE CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.