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Organization
SHIELD MEDICAL GROUP PLLC
Active
Organization
SHIELD MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KULMEET S KUNDLAS MD (PRESIDENT)
(863) 255-9595
Entity
Organization
Contact information
Practice address
4597 CASABLANCA CIR, SEBRING, FL 33870-1206
(863) 236-9550
(877) 832-3363
Mailing address
PO BOX 919558, ORLANDO, FL 32891-9558
(863) 236-9550
(863) 236-9551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME73743
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252638700
—
FL
Enumeration date
02/23/2018
Last updated
04/06/2022
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