MD HEALTHCARE SUNRISE – NPI #1093484743
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

MD HEALTHCARE SUNRISE is a provider located in SUNRISE, FL. NPPES has assigned the NPI number 1093484743 to MD HEALTHCARE SUNRISE on September 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MD HEALTHCARE SUNRISE below.

NPI Profile for
MD HEALTHCARE SUNRISE

NPI Number
1093484743
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MD HEALTHCARE SUNRISE
Primary location
4269 N PINE ISLAND RD
SUNRISE, FL 33351-6044
Phone: (954) 578-0200 Fax:
Mailing address
304 INDIAN TRCE STE 636
WESTON, FL 33326-2996
Phone: (954) 578-0200 Fax:
Organization Subpart
No
Authorized Official
DERWIN WESTERBURGER
OWNER
Phone: (786) 229-9733
Updated
Certification Date
Sep 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.