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Organization
SUNSHINE STATE PHYSICIANS GROUP, LLC
Active
Organization
SUNSHINE STATE PHYSICIANS GROUP, LLC
Active
Other names
Sunshine State Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA LYNNE AUSTIN BSN, BSHA (DIRECTOR OF CLINICAL OPERATIONS)
(407) 857-8679
Entity
Organization
Contact information
Practice address
9753 S ORANGE BLOSSOM TRL, SUITE 103, ORLANDO, FL 32837-7841
(407) 857-8679
(407) 857-8672
Mailing address
9753 S ORANGE BLOSSOM TRL, SUITE 103, ORLANDO, FL 32837-7841
(407) 857-8679
(407) 857-8672
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10505
FL
174400000X
Specialist
Primary
ME50492
FL
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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