SON SHINE FOOT AND ANKLE CENTER INC
NPI 1063459675
Podiatrist - Foot & Ankle Surgery in Port St Lucie, FL

Active since June 01, 2006
1405 SE GOLDTREE DR, SUITE B, PORT ST LUCIE, FL 34952(772) 380-0900(772) 380-0901 Get Directions Write a Review

NPPES record last updated: January 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Son Shine Foot And Ankle Center Inc NPPES

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

SON SHINE FOOT AND ANKLE CENTER INC (NPI 1063459675) is a healthcare organization registered as a foot & ankle surgery in Port St Lucie, Florida and active in the NPI registry since June 2006. The organization lists Albert Andrew Derrico, Physician, as its authorized official.

NPPES Registry Identity

NPI1063459675
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSON SHINE FOOT AND ANKLE CENTER INC
Location Address1405 SE GOLDTREE DR, SUITE BPort St Lucie, FL 34952-7563
Mailing AddressPo Box 8210Port St Lucie, FL 34985-8210 · (772) 380-0900 · Fax (772) 380-0901
Fax(772) 380-0901
Organization SubpartNo
Authorized OfficialAlbert Andrew DerricoPhysician · (772) 380-0900
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 3, 2008
NPI 1063459675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in FL · PO2649
1405 SE GOLDTREE DR, Port St Lucie, FL 34952

Other Identifiers 4

Medicare PINK1969AFL
Medicare UPINU73607FL
Medicare NSC3894500001FL
Medicare PINE1962BFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Physical Therapist
1405 SE GOLDTREE DR, SUITE D
PORT ST LUCIE, FL 34952
General Practice
1405 SE GOLDTREE DR, SUITE # C
PORT ST LUCIE, FL 34952
Clinic/Center (Medical Specialty)
1405 SE GOLDTREE DR, SUITE B
PORT ST LUCIE, FL 34952
Substance Abuse Rehabilitation Facility
1405 SE GOLDTREE DR, SUITE A
PORT SAINT LUCIE, FL 34952
Clinic/Center
1405 SE GOLDTREE DR, SUITE D
PORT ST LUCIE, FL 34952
Social Worker (Clinical)
1405 SE GOLDTREE DR
PORT SAINT LUCIE, FL 34952
Counselor (Pastoral)
1405 SE GOLDTREE DR
PORT SAINT LUCIE, FL 34952

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 Son Shine Foot And Ankle Center Inc's NPI number?

The NPI number for Son Shine Foot And Ankle Center Inc is 1063459675. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Son Shine Foot And Ankle Center Inc located?

Son Shine Foot And Ankle Center Inc is located at 1405 SE Goldtree Dr Suite B, Port St Lucie, FL 34952. The listed phone number is (772) 380-0900.

What is Son Shine Foot And Ankle Center Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Son Shine Foot And Ankle Center Inc was last updated on January 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.