Provider Demographics
NPI:1013165083
Name:SUNNY, JOSEPH K JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:SUNNY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 SW 7TH ST
Mailing Address - Street 2:STE 1600
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-2956
Mailing Address - Country:US
Mailing Address - Phone:305-563-4548
Mailing Address - Fax:
Practice Address - Street 1:175 SW 7TH ST
Practice Address - Street 2:STE 1600
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2956
Practice Address - Country:US
Practice Address - Phone:305-563-4548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2015-0529207RG0100X
FLME142598207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104955500Medicaid
FLL1464OtherFL MEDICARE