| Sunstate Medical Clinic | |
|
21762 State Road 54 Lutz FL 33549-6921 | |
| (727) 403-4573 | |
| Not Available |
| Full Name | Sunstate Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 21762 State Road 54, Lutz, Florida |
| Authorized Official Name and Position | Mahesh Bhambore (PRESIDENT) |
| Authorized Official Contact | 7274034573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunstate Medical Clinic 20016 Ryman Pl Tampa FL 33647-3452 Ph: () - | Sunstate Medical Clinic 21762 State Road 54 Lutz FL 33549-6921 Ph: (727) 403-4573 |
| NPI Number | 1831436005 |
|---|---|
| Provider Enumeration Date | 01/08/2013 |
| Last Update Date | 06/26/2013 |
| Medicare PECOS PAC ID | 9436304862 |
|---|---|
| Medicare Enrollment ID | O20130308000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831436005 | NPI | - | NPPES |
| P01173486 | Other | FL | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME100193 (Florida) | Primary |
| Provider Name | Mahesh M Bhambore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336183573 PECOS PAC ID: 3375444888 Enrollment ID: I20080626000453 |
Echelon-health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Vandervort Rd, Lutz, FL 33549 Phone: 813-892-5665 | |
Sunset Point Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Crystal Grove Blvd, Lutz, FL 33548 Phone: 813-949-4991 Fax: 813-949-4986 | |
Omar Cardenas, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Curry Rd, Lutz, FL 33549 Phone: 813-501-7407 Fax: 813-964-3113 | |
Physician's Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24420 State Road 54, Lutz, FL 33559 Phone: 813-948-2453 | |
Family Care Of Land O Lakes Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1942 Highland Oaks Blvd, Suite A, Lutz, FL 33559 Phone: 813-948-3838 Fax: 813-949-0629 | |
Sunlake Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18964 Dale Mabry Hwy N, Ste 101, Lutz, FL 33548 Phone: 813-948-2107 Fax: 813-948-2790 | |
N Shape & Health Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4691 Van Dyke Rd, Lutz, FL 33558 Phone: 813-443-1443 |