NPI | 1396000154 |
---|---|
Doing Business As | SUNSTATE DOCTORS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KHUSHI A. DHALIWAL President 813-633-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0059912) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2012-07-09 |
Last Update Date | 2024-04-20 |