Organization · Type 2 NPI

Sunlake Pain Management, LLC

Clinic/Center · Lutz, FL

NPI number 1114153483 Active

Practice location

18964 Dale Mabry Hwy N, Ste 101
Lutz, FL 33548-4913

Call (813) 948-2107 Map

Fax (813) 948-2790

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XHCC8458 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1114153483

Sunlake Pain Management, LLC's National Provider Identifier is 1114153483, issued on Jun 1, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lutz, FL. The record was last updated on Apr 1, 2010.