| NPI | 1730759937 |
|---|---|
| Other Name | SAND LAKE HEALTH |
| Entity Type | Organization |
| Authorized Contact | KHIZAR MALIK CEO 407-279-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |