SUNSHINE PEDIATRIC CLINIC PA (NPI# 1811396419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811396419 |
| Entity Type | Organization |
| Organization Name | SUNSHINE PEDIATRIC CLINIC PA |
| Other Organization Name | SUNSHINE PEDIATRIC CLINIC |
| Practice Address |
1973 Sw Savage Blvd Suite 205 Port St Lucie FL 34953-2791 |
| Practice Telephone | 7724467800 |
| Practice Fax Number | 7724467891 |
| Mailing Telephone | 7724467800 |
| Mailing Fax Number | 7724467891 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | DR. KABIR AHMED (PRESIDENT) |
| Authorized Official Telephone | 7724467800 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME85827 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sunshine Pediatric Clinic | Doing Business As Name - Organization |
| Street Address |
1973 SW SAVAGE BLVD SUITE 205 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700064698 | Joseph Pate | Chiropractor | 1973 Sw Savage Blvd, #111, Port St Lucie, FL 34953-2791 | 2008-02-04 |
| 1962677260 | Absolute Healthcare Advanced Chiropractic P A | Clinic/Center | 1973 Sw Savage Blvd, 111, Port St Lucie, FL 34953-2791 | 2008-04-28 |
| 1871765040 | Laura Pate | Chiropractor | 1973 Sw Savage Blvd, Port St Lucie, FL 34953-2791 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069742 | Corinne Arrington Watson | Pediatrics | 1095 Nw Saint Lucie West Blvd Ste 106, Port St Lucie, FL 34986-1719 | 2013-05-08 |
| 1114230984 | Marta Beatriz Moroldo | Pediatrics | 1701 Se Hillmoor Dr Ste 19, Port St Lucie, FL 34952-7552 | 2010-07-21 |
| 1770894438 | Monique Michelle Mondesir | Pediatrics | 150 Sw Chamber Ct Ste 101, Port St Lucie, FL 34986-3413 | 2010-06-28 |
| 1063615516 | Ivanelsie Delgado | Pediatrics | 161 Sw Palm Dr Apt 161, Port St Lucie, FL 34986-1796 | 2007-06-11 |
| 1144423195 | Sunita Prakash Bhandare | Pediatrics | 144 Sw Peacock Blvd, # 101, Port St Lucie, FL 34986-4509 | 2007-06-07 |
| 1134348469 | Kerri Daniels | Pediatrics | 3235 Sw Port St Lucie Blvd Ste 105, Port St Lucie, FL 34953-3405 | 2007-04-25 |
| 1255443859 | Michael Bessos Md Pa | Pediatrics | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2006-08-31 |
| 1083657662 | Milton M Aponte | Pediatrics | 380 Sw Prima Vista Blvd, Port St Lucie, FL 34983-1984 | 2006-06-13 |
| 1912950668 | Miguel A Pereira-robert | Pediatrics | 683 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-1998 | 2006-05-17 |
| 1003875261 | Georges C. Guerrier | Pediatrics | 437 Sw Bethany Dr, Port St Lucie, FL 34986-2136 | 2006-03-17 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34953 |
Please comment or provide details below to improve the information on SUNSHINE PEDIATRIC CLINIC PA.
| 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.