Sunshine Surgical And Wound Care LLC
Surgery in Lady Lake, FL. Organization (NPI-2).
NPI number1861978652
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1861978652
- Entity type
- Organization (NPI-2)
- Legal business name
- Sunshine Surgical And Wound Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2018
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
Practice location
630 Griffin AveLady Lake, FL 32159-8101
Phone 877-850-8762 · Fax 877-480-9940
Mailing address
222 N Pacific Coast Hwy Ste 2175El Segundo, CA 90245-5639
Phone 877-850-8762 · Fax 877-480-9940
Authorized official
Robert Marriott
Managing Member
3104026811
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