SUN CITY CENTER HEALTH AND WELLNESS LLC
NPI 1871992545
General Practice in Ruskin, FL

Q: What is Sun City Center Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 19, 2014

3040 E COLLEGE AVE, RUSKIN, FL 33570(813) 331-3940(813) 331-3941 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sun City Center Health And Wellness Llc NPPES

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

SUN CITY CENTER HEALTH AND WELLNESS LLC (NPI 1871992545) is a healthcare organization registered as a general practice in Ruskin, Florida and active in the NPI registry since August 2014. The organization lists Eldridge Mccormick, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1871992545

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSUN CITY CENTER HEALTH AND WELLNESS LLC

Location Address3040 E COLLEGE AVERuskin, FL 33570-5220

Mailing Address3040 E College AveRuskin, FL 33570-5220 · (813) 331-3940 · Fax (813) 331-3941

Phone(813) 331-3940

Fax(813) 331-3941

Organization SubpartNo

Authorized OfficialEldridge MccormickMedical Director · (813) 331-3940

Enumeration DateAugust 19, 2014

Last NPPES UpdateAugust 28, 2014

✔ NPI 1871992545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3040 E COLLEGE AVE, Ruskin, FL 33570

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Other Identifiers 2

Medicare UPIND58221FL

Medicare PIN71877FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sun City Center Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Sun City Center Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Jacqueline Frazer, ARNP

Nurse Practitioner

NPI 1326660978

3040 E COLLEGE AVE
Ruskin, FL 33570

(813) 331-3940

✔ PECOS✔ Accepts MedicareSame address

Amorcita Dougherty, A.R.

Nurse Practitioner

NPI 1043694789

3040 E COLLEGE AVE
Ruskin, FL 33570

(813) 331-3940

✔ PECOS✔ Accepts MedicareSame address

Jessica Laurent, ARNP

Nurse Practitioner

NPI 1073050688

7915 US HIGHWAY 301 N STE 103
Ellenton, FL 34222

(941) 847-1101

✔ PECOS✔ Accepts Medicare13 mi

Woodlyne Arne

Nurse Practitioner

NPI 1689480188

2538 MIDDLETON GROVE DR
Brandon, FL 33511

(813) 531-2701

✔ PECOS✔ Accepts Medicare14 mi

Delani Lima, ARNP

Nurse Practitioner

NPI 1114434354

10910 TECHNOLOGY TER
Lakewood Ranch, FL 34211

(941) 727-7772

✔ PECOS17 mi

Michelle Scott, MD

Internal Medicine

NPI 1154370385

7234 OGDEN AVE
Riverside, IL 60546

(708) 447-1177

✔ PECOS1,020 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 City Center Health And Wellness LLC's NPI number?

The NPI number for Sun City Center Health And Wellness LLC is 1871992545. It was assigned to this organization in the NPPES registry on August 19, 2014.

Where is Sun City Center Health And Wellness LLC located?

Sun City Center Health And Wellness LLC is located at 3040 E College Ave, Ruskin, FL 33570. The listed phone number is (813) 331-3940.

What is Sun City Center Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sun City Center Health And Wellness LLC enrolled in Medicare?

Yes. Sun City Center Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sun City Center Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Sun City Center Health And Wellness LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Internal Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sun City Center Health And Wellness LLC was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.