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Organization
SG MEDICAL PROFESSIONALS OF FL PA
Active
Organization
SG MEDICAL PROFESSIONALS OF FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GUTTMANN MD (OWNER)
(718) 362-1403
Entity
Organization
Contact information
Practice address
5245 N SOCRUM LOOP RD, LAKELAND, FL 33809-4253
(718) 362-1403
(718) 414-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1403
(718) 414-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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