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Organization
SUNSHINE STATE MEDICAL CLINIC PA
Active
Organization
SUNSHINE STATE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UDAY SHANKER MISHRA MD (PRESIDENT)
(352) 369-5440
Entity
Organization
Contact information
Practice address
1305 SE 25TH LOOP STE 103, OCALA, FL 34471-6090
(352) 369-5440
(352) 369-5442
Mailing address
1305 SE 25TH LOOP SUIT 103, OCALA, FL 34471
(352) 369-5440
(352) 369-5442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73537
FL
Other
Enumeration date
03/17/2008
Last updated
06/27/2008
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