# SUN 'N LAKE MEDICAL GROUP,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144400540
- **Authorized official:** DR. RAISA CAMILO (OWNER)
- **Authorized official phone:** (863) 385-2659

## Contact information

- **Practice address:** 511 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
- **Practice address phone:** (863) 699-1220
- **Practice address fax:** (863) 699-1811
- **Mailing address:** 511 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0703
- **Mailing address phone:** (863) 699-1220
- **Mailing address fax:** (863) 699-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | ME61030 | FL | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 10/21/2025
