# DIABETES NATIONAL ALLIANCE CLINIC

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

## Provider details

- **NPI number:** 1851766554
- **Authorized official:** DR. GOPINATH SUNIL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (352) 414-7999

## Contact information

- **Practice address:** 13940 N US HIGHWAY 441 STE 801, LADY LAKE, FL 32159-8954
- **Practice address phone:** (352) 414-7999
- **Practice address fax:** (352) 414-7998
- **Mailing address:** 13940 N US HIGHWAY 441 STE 801, LADY LAKE, FL 32159-8954
- **Mailing address phone:** (352) 414-7999
- **Mailing address fax:** (352) 414-7998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME83396 | FL | Yes |

## Other

- **Enumeration date:** 12/07/2015
- **Last updated:** 03/29/2016