Organization
GOLDEN SUN BEAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HILGER (CHIEF ACCOUNTING OFFICER)
(253) 280-9501
Entity
Organization
Contact information
Practice address
13083 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 971-3064
(813) 977-3607
Mailing address
3 HAWTHORN PKWY, SUITE 410, VERNON HILLS, IL 60061-1446
(847) 949-3845
(866) 408-5072
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
01/05/2012
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