| Sun 'n Lake Medical Group,pa | |
|
4958 Sun N Lake Blvd Sebring FL 33872-2167 | |
| (863) 385-8004 | |
| (863) 385-2330 |
| Full Name | Sun 'n Lake Medical Group,pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 4958 Sun N Lake Blvd, Sebring, Florida |
| Authorized Official Name and Position | Miguel F Beltre (PRESIDENT) |
| Authorized Official Contact | 8633852659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun 'n Lake Medical Group,pa 4958 Sun N Lake Blvd Sebring FL 33872-2167 Ph: (863) 385-8004 | Sun 'n Lake Medical Group,pa 4958 Sun N Lake Blvd Sebring FL 33872-2167 Ph: (863) 385-8004 |
| NPI Number | 1639375165 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 2668380841 |
|---|---|
| Medicare Enrollment ID | O20040812000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639375165 | NPI | - | NPPES |
| 1104923374 | Other | FL | NPI |
| 373302500 | Medicaid | FL | |
| 1740270545 | Other | FL | NPI |
| 1760505457 | Other | FL | NPI |
| 1467461905 | Other | FL | NPI |
| 1427048495 | Other | FL | NPI |
| 373963500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Miguel Francisco Beltre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740270545 PECOS PAC ID: 3577471762 Enrollment ID: I20100914000606 |
| Provider Name | Serra M Pautke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215508924 PECOS PAC ID: 9830583483 Enrollment ID: I20220225000625 |
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