Organization
SAND LAKE REHAB & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERADIO SOSA (PRESIDENT)
(407) 704-5518
Entity
Organization
Contact information
Practice address
1650 SAND LAKE RD, STE. 255, ORLANDO, FL 32809-7681
(407) 704-5518
(407) 704-5526
Mailing address
1650 SAND LAKE RD, STE. 255, ORLANDO, FL 32809-7681
(407) 704-5518
(407) 704-5526
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC9064
FL
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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