| Sookdeo Family Medicine Pllc | |
|
14101 W Colonial Dr Winter Garden FL 34787-4206 | |
| (863) 937-6944 | |
| Not Available |
| Full Name | Sookdeo Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 14101 W Colonial Dr, Winter Garden, Florida |
| Authorized Official Name and Position | Trishanna C Sookdeo (OWNER/PROVIDER) |
| Authorized Official Contact | 2027108646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sookdeo Family Medicine Pllc 3300 S Fiske Blvd Rockledge FL 32955-4306 Ph: (407) 395-2004 | Sookdeo Family Medicine Pllc 14101 W Colonial Dr Winter Garden FL 34787-4206 Ph: (863) 937-6944 |
| NPI Number | 1710513791 |
|---|---|
| Provider Enumeration Date | 03/21/2020 |
| Last Update Date | 06/16/2021 |
| Medicare PECOS PAC ID | 5496174666 |
|---|---|
| Medicare Enrollment ID | O20201007003303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710513791 | NPI | - | NPPES |
| NY940 | Other | FL | FL MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Trishanna Crystal Sookdeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172210 PECOS PAC ID: 9133429525 Enrollment ID: I20151208002111 |
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