Sun 'N Lake Medical Group,Pa

LBN: Sun 'N Lake Medical Group,Pa
Sun 'N Lake Medical Group,Pa is an health care organization with primary practice located at 511 W Interlake Blvd , Lake Placid FL 33852-0703. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Sun 'N Lake Medical Group,Pa can be contacted via phone (863) 699-1220, or through Camilo, Raisa via phone (863) 385-2659.

Contact Information

Primary practice address
511 W Interlake Blvd Lake Placid FL 33852-0703
Phone: (863) 699-1220
Fax: (863) 699-1811
Website:
Map and Directions
Authorized official contact:
Name: Camilo, Raisa
Phone: (863) 385-2659

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME61030 Florida

Profile Details

NPI number 1144400540
LBN Legal business name Sun 'N Lake Medical Group,Pa
DBA Doing business as
Authorized official Camilo, Raisa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2007
Last updated Jan 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144400540 NPPES
Florida Other ME61030 MEDICAL LICENSE
Florida Other 23511 MEDICAL LICENSE
Florida Other 160064 MEDICAL LICENSE
Florida Other 220402 MEDICAL LICENSE

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