Sandlake Health & Wellness Center Llc | |
2345 Sand Lake Rd Suite 300 Orlando FL 32809-9142 | |
(407) 851-5121 | |
(407) 851-0439 |
Full Name | Sandlake Health & Wellness Center Llc |
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Speciality | Clinic/center |
Location | 2345 Sand Lake Rd, Orlando, Florida |
Authorized Official Name and Position | Sangeetha Polasa (M.D.) |
Authorized Official Contact | 4078515121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandlake Health & Wellness Center Llc 2345 Sand Lake Rd Suite 300 Orlando FL 32809-9142 Ph: (407) 851-5121 | Sandlake Health & Wellness Center Llc 2345 Sand Lake Rd Suite 300 Orlando FL 32809-9142 Ph: (407) 851-5121 |
NPI Number | 1447507496 |
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Provider Enumeration Date | 08/09/2012 |
Last Update Date | 08/09/2012 |
Identifier | Type | State | Issuer |
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1447507496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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