Organization
SANDLAKE HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANGEETHA POLASA (M.D.)
(407) 851-5121
Entity
Organization
Contact information
Practice address
2345 SAND LAKE RD, SUITE 300, ORLANDO, FL 32809-9142
(407) 851-5121
(407) 851-0439
Mailing address
2345 SAND LAKE RD, SUITE 300, ORLANDO, FL 32809-9142
(407) 851-5121
(407) 851-0439
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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