Sun 'n Lake Medical Group,pa
Pediatrics
Sun 'n Lake Medical Group,pa is a Lake Placid, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
511 W Interlake Blvd, Lake Placid, Florida - 33852-0703. They can be contacted on phone at
863-699-1220 and fax number 863-699-1811.
NPI number (Unique professional ID) for Sun 'n Lake Medical Group,pa is
1144400540 which was assigned by NPPES on 14 Nov, 2007 and it was last updated on 02 Jan, 2008.
Sun 'n Lake Medical Group,pa license number is
ME61030 for Pediatrics (208000000X) in Florida.
Sun 'n Lake Medical Group,pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sun 'n Lake Medical Group,pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sun 'n Lake Medical Group,pa |
|---|
Business Address:
Sun 'n Lake Medical Group,pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 511 W Interlake Blvd
Lake Placid, FL, 33852-0703
United States |
|---|
| Phone Number : | 863-699-1220 |
|---|
| Fax Number : | 863-699-1811 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144400540 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Nov, 2007 |
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| Last Updated On : | 02 Jan, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Raisa Camilo |
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| Official Title or Position : | OWNER |
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| Phone Number : | 863-385-2659 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sun 'n Lake Medical Group,pa are as mentioned. Primary taxonomy code for Sun 'n Lake Medical Group,pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME61030 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Sun 'n Lake Medical Group,pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 220402 | Other | FL | HEALTHESE |
| 23511 | Other | FL | BCBS |
| 160064 | Other | FL | HEALTHESE |
| ME61030 | Other | FL | MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 511 W Interlake Blvd
Lake Placid, FL, 33852-0703
United States |
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| Phone Number : | 863-699-1220 |
|---|
| Fax Number : | 863-699-1811 |
|---|
Business Location:
Patients can refer following map for directions to
Sun 'n Lake Medical Group,pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.