Organization
SUGAR 10 LLC
Active
Organization
SUGAR 10 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIEP Q LE (CHIEF OPERATING OFFICER)
(407) 529-4257
Entity
Organization
Contact information
Practice address
541 S ORLANDO AVE STE 306, MAITLAND, FL 32751-5669
(407) 529-4257
Mailing address
541 S ORLANDO AVE STE 306, MAITLAND, FL 32751-5669
(407) 529-4257
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/06/2019
Last updated
05/24/2019
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