Organization
SUN 'N LAKE MEDICAL GROUP,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL F BELTRE M.D (PRESIDENT)
(863) 385-2659
Entity
Organization
Contact information
Practice address
4958 SUN N LAKE BLVD, SEBRING, FL 33872-2167
(863) 385-8004
(863) 385-2330
Mailing address
4958 SUN N LAKE BLVD, SEBRING, FL 33872-2167
(863) 385-8004
(863) 385-2330
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104923374
NPI
FL
01
—
1427048495
NPI
FL
01
—
1467461905
NPI
FL
01
—
1740270545
NPI
FL
01
—
1760505457
NPI
FL
05
—
373302500
—
FL
05
—
373963500
—
FL
Enumeration date
06/22/2007
Last updated
08/22/2013
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