| NPI | 1609321454 |
|---|---|
| Doing Business As | SAND LAKE MEDICAL WALK IN CLINIC |
| Entity Type | Organization |
| Authorized Contact | KANTILAL BHALANI Physicia 407-286-1829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207R00000X Internal Medicine | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: FL ME39710) | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-11-02 |