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SUN MIRACLE WELLNESS CENTER LLC
NPI 1164130613
Nurse Practitioner - Adult Health in Clearwater, FL

Active since November 14, 2022
13575 58TH ST N STE 200, CLEARWATER, FL 33760(727) 741-8475 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sun Miracle Wellness Center Llc NPPES

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

SUN MIRACLE WELLNESS CENTER LLC (NPI 1164130613) is a healthcare organization registered as an adult health in Clearwater, Florida and active in the NPI registry since November 2022. The organization lists Shanta K Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1164130613
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSUN MIRACLE WELLNESS CENTER LLC
Location Address13575 58TH ST N STE 200Clearwater, FL 33760-3739
Mailing Address6740 Crosswinds Dr N Ste CSt Petersburg, FL 33710-5472 · (727) 954-0010
Phone(727) 741-8475
Organization SubpartNo
Authorized OfficialShanta K DavisOwner · (727) 741-8475
Enumeration DateNovember 14, 2022
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1164130613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
13575 58TH ST N STE 200, Clearwater, FL 33760
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Other Providers at the Same Location NPPES 10

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

CAREGIVING WITH LOVE HOMEHEALTH SPECIALISTS NO. 2, INC.
Home Health
13575 58TH ST N STE 200, SUITE 163
CLEARWATER, FL 33760
Pinellas County (813) 781-3800
A HEALTH HAVEN
Home Health
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (813) 215-2454
TRUSTED ARMS LLC
Non-emergency Medical Transport (VAN)
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (727) 396-1285
CHAILA GENOVESE
Technician, Pathology (Phlebotomy)
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (844) 742-7542
LAWANDA BEVEL JACKSON APRN
Nurse Practitioner (Psychiatric/Mental Health)
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (813) 563-1465
NATESIA JOHNSON
Licensed Practical Nurse
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (727) 492-1042
LEAH ASHANTI AMARAL MAATC
Counselor (Professional)
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (727) 282-5596
ANTOINETTE NICHOL WILSON
Non-emergency Medical Transport (VAN)
13575 58TH ST N STE 200
CLEARWATER, FL 33760
Pinellas County (727) 396-1285

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 Sun Miracle Wellness Center LLC's NPI number?

The NPI number for Sun Miracle Wellness Center LLC is 1164130613. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Sun Miracle Wellness Center LLC located?

Sun Miracle Wellness Center LLC is located at 13575 58th St N Ste 200, Clearwater, FL 33760. The listed phone number is (727) 741-8475.

What is Sun Miracle Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Sun Miracle Wellness Center LLC was last updated on September 25, 2023. 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.