SUNSHINE MEDICAL SPECIALISTS, LLC


Address: 10175 Fortune Pkwy, Jacksonville, FL 32256-6746
Phone: 9045336868

SUNSHINE MEDICAL SPECIALISTS, LLC (NPI# 1336780907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336780907
Entity Type Organization
Organization Name SUNSHINE MEDICAL SPECIALISTS, LLC
Other Organization Name SUNSHINE MEDICAL SPECIALISTS, LLC
Practice Address 10175 Fortune Pkwy
Jacksonville
FL 32256-6746
Mailing Address 1334 N Kyle Way
Saint Johns
FL 32259-1927
Practice Telephone 9045336868
Mailing Telephone 9045336868
Mailing Fax Number 9047704003
Enumeration Date 2019-10-03
Last Update Date 2020-04-01
Authorized Official Name THANH NGUYEN (OWNER)
Authorized Official Telephone 9045336868
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 103328600 05

Other Provider/Organization Names

Other Name Type Code
Sunshine Medical Specialists, LLC Doing Business As Name - Organization

Office Location

Street Address 10175 FORTUNE PKWY
City JACKSONVILLE
State FL
Zip Code 32256-6746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730100587 Mohammad Farooque Psychiatry & Neurology 10175 Fortune Pkwy, Suite #1106, Jacksonville, FL 32256-6746 2006-07-21
1902430614 Delana Dampier Technician 10175 Fortune Pkwy, Jacksonville, FL 32256-6746 2020-03-03
1376079905 Ashley Raynor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-05-02
1952834434 Mollie Gibson Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-11
1720511728 Desiree Adams Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-04-06
1538691555 Meghan Rhegness Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2017-03-29
1568906048 Alicia Miller Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-19
1417491036 Mary Moore Behavioral Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
1720522352 Lavyn Taylor Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
1730623356 Juana Rivera Assistant Behavior Analyst 10175 Fortune Pkwy, Suite 903, Jacksonville, FL 32256-6746 2016-12-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891359998 Kids and Families Medical Clinic LLC Pediatrics 12086 Fort Caroline Rd Ste 404, Jacksonville, FL 32225-7640 2019-04-24
1114458916 Jacksonville Pediatric Endocrinology Clinic Pllc Pediatrics 9191 R G Skinner Pkwy, Jacksonville, FL 32256-9655 2017-03-23
1043674864 Lurah Elizabeth Welch Pediatrics 655 W 8th St, Jacksonville, FL 32209-6511 2016-04-07
1750679973 Reham Hasan Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2011-07-21
1205070935 Lydia L Snyder Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2009-04-24
1447315734 Dominique Darmaun Pediatrics 807 Childrens Way, Nemours Children's Clinic, Research 5north, Jacksonville, FL 32207-8426 2006-12-27
1467530626 Nelly Mauras Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-11-02
1992811822 Jose Atilio Canas Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-22
1548375520 Priscila C Gagliardi Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-20
1629183603 Robert C. Olney Pediatrics 807 Childrens Way, Jacksonville, FL 32207-8426 2006-08-20
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

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.

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