W SAND LAKE MEDICAL GROUP LLC NPI 1558726257

NPI Information

W SAND LAKE MEDICAL GROUP LLC is an addiction medicine internal medicine in Orlando, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. W SAND LAKE MEDICAL GROUP LLC NPI is 1558726257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2431 SAND LAKE RD
ORLANDO, FL
ZIP 32809-641
Phone: (855) 876-8648

The provider's authorized official is Nick Matteo .
The authorized official title is Cfo and has the following contact phone number (561) 318-4430.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 12/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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