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SUN 'N LAKE MEDICAL GROUPPA NPI 1639375165


NPI Information

NPI: 1639375165
Provider Name: SUN 'N LAKE MEDICAL GROUP,PA
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
4958 SUN N LAKE BLVD
SEBRING, FL
ZIP 33872
Phone: (863) 385-8004
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SUN 'N LAKE MEDICAL GROUP,PA is a rural health clinic center in Sebring, FL. SUN 'N LAKE MEDICAL GROUP,PA NPI is 1639375165. The provider is registered as an organization entity type.

The provider's business location address is:

4958 SUN N LAKE BLVD
SEBRING, FL
ZIP 33872-167
Phone: (863) 385-8004
Fax: (863) 385-2330

The provider's authorized official is Miguel F Beltre .
The authorized official title is President and has the following contact phone number (863) 385-2659.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1373302500MEDICAIDFLORIDA
2373963500MEDICAIDFLORIDA
31467461905OTHERFLORIDANPI
41740270545OTHERFLORIDANPI
51104923374OTHERFLORIDANPI
61760505457OTHERFLORIDANPI
7108950MEDICARE OSCAR/CERTIFICATIONFLORIDA
81427048495OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.