OrganizationActive
Sunstate Pediatrics
NPI 1902067879 · Pediatrics Physician · Lake Mary, FL
Sunstate Pediatrics is a Pediatrics Physician organization in Lake Mary, FL (NPI 1902067879).
Provider details
- NPI number
- 1902067879
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ehteram Raissi-Fard, President(407) 333-2809
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
758 N Sun Dr Ste 108
Lake Mary, FL 32746-2599
Phone: (407) 333-2809
Fax: (407) 333-2870
Street-level locationGet directions
Mailing address
758 N Sun Dr Ste 108
Lake Mary, FL 32746-2599
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2008-06-23
Frequently asked questions
- What is Sunstate Pediatrics's NPI number?
- Sunstate Pediatrics's National Provider Identifier (NPI) is 1902067879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunstate Pediatrics?
- Sunstate Pediatrics is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Sunstate Pediatrics located?
- Sunstate Pediatrics's practice location on file with NPPES is 758 N Sun Dr Ste 108, Lake Mary, FL 32746-2599.
- What is Sunstate Pediatrics's phone number?
- The practice phone number listed in the NPPES registry for Sunstate Pediatrics is (407) 333-2809.
- Who is the authorized official for Sunstate Pediatrics?
- The authorized official listed on Sunstate Pediatrics's NPPES record is Ehteram Raissi-Fard, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunstate Pediatrics's NPI active?
- Yes — Sunstate Pediatrics's NPI (1902067879) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.