Healthcare Provider Details

I. General information

NPI: 1437009644
Provider Name (Legal Business Name): SUNSHINE ORTHOPEDIC CLINIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7510 NW 28TH WAY
BOCA RATON FL
33496-3560
US

IV. Provider business mailing address

7510 NW 28TH WAY
BOCA RATON FL
33496-3560
US

V. Phone/Fax

Practice location:
  • Phone: 917-796-1908
  • Fax:
Mailing address:
  • Phone: 917-796-1908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON LAUREN GOULD
Title or Position: OWNER
Credential: MD
Phone: 917-796-1908