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Organization

LIFESTREAM FAMILY MEDICINE P.A.

Active
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Organization

LIFESTREAM FAMILY MEDICINE P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SASKA FIONA SOOKRA WINSLOW M.D. (CEO/OWNER)
(941) 755-0433
Entity
Organization

Contact information

Practice address
1957 WORTH COURT, BRADENTON, FL 34211
(941) 755-0433
Mailing address
1957 WORTH COURT, BRADENTON, FL 34211
(941) 755-0433

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96301
MEDICAL LICENSE
FL
Enumeration date
10/22/2019
Last updated
07/10/2020
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