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SUNNYSIDE PEDIATRIC THERAPY
NPI 1043054596
Pediatrics - Developmental - Behavioral Pediatrics in New Smyrna Beach, FL

Active since June 20, 2024
110 S ORANGE ST, NEW SMYRNA BEACH, FL 32168(609) 432-8983 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Sunnyside Pediatric Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNNYSIDE PEDIATRIC THERAPY (NPI 1043054596) is a healthcare organization registered as a developmental - behavioral pediatrics in New Smyrna Beach, Florida and active in the NPI registry since June 2024. The organization lists Matthew Ford Ford, President, as its authorized official.

NPPES Registry Identity

NPI1043054596
Entity TypeOrganization
Primary Taxonomy2080P0006X
Legal Business NameSPTLSC INC
Location Address110 S ORANGE STNew Smyrna Beach, FL 32168-7153
Mailing Address1141 Sand Trap CtDaytona Beach, FL 32124-3021 · (609) 432-8983
Phone(609) 432-8983
Organization SubpartNo
Authorized OfficialMatthew Ford FordPresident · (609) 432-8983
Enumeration DateJune 20, 2024
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1043054596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
110 S ORANGE ST, New Smyrna Beach, FL 32168
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Other Names 1

Doing Business AsSunnyside Pediatric Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DVA HEALTHCARE RENAL CARE, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
110 S ORANGE ST
NEW SMYRNA BEACH, FL 32168
Volusia County (386) 409-0025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sptlsc Inc's NPI number?

The NPI number for Sptlsc Inc is 1043054596. It was assigned to this organization in the NPPES registry on June 20, 2024. The provider is doing business as Sunnyside Pediatric Therapy.

Where is Sptlsc Inc located?

Sptlsc Inc is located at 110 S Orange St, New Smyrna Beach, FL 32168. The listed phone number is (609) 432-8983.

What is Sptlsc Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

When was this NPI record last updated?

The NPPES record for Sptlsc Inc was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.