W SAND LAKE MEDICAL GROUP LLC

ORLANDO, FL
NPI1558726257
Entity TypeOrganization
Authorized ContactNICK MATTEO
CFO
561-318-4430
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Enumeration Date2015-12-22
Last Update Date2015-12-22
Business Address
W SAND LAKE MEDICAL GROUP LLC
2431 SAND LAKE RD
ORLANDO, FL 32809-7641
Phone number: 855-876-8648
Mailing Address
W SAND LAKE MEDICAL GROUP LLC
2328 10TH AVE N STE 302
LAKE WORTH, FL 33461-6612
Phone number:
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