NPI | 1114153483 |
---|---|
Doing Business As | SUNLAKE MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LUIS A. LOGRONO Medical Director 813-948-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC8458) |
Enumeration Date | 2009-06-01 |
Last Update Date | 2010-04-01 |