Organization
STARLIGHT MEDICAL GROUP & SLEEP LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K EVANS MBA (OWNER)
(813) 610-6516
Entity
Organization
Contact information
Practice address
2621 WINDGUARD CIR, WESLEY CHAPEL, FL 33544-7354
(813) 994-2729
(813) 994-2965
Mailing address
7132 WAREHAM DR, TAMPA, FL 33647-1132
(813) 610-6516
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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