Organization
DIABETES NATIONAL ALLIANCE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOPINATH SUNIL M.D. (MEDICAL DIRECTOR)
(352) 414-7999
Entity
Organization
Contact information
Practice address
13940 N US HIGHWAY 441 STE 801, LADY LAKE, FL 32159-8954
(352) 414-7999
(352) 414-7998
Mailing address
13940 N US HIGHWAY 441 STE 801, LADY LAKE, FL 32159-8954
(352) 414-7999
(352) 414-7998
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME83396
FL
Other
Enumeration date
12/07/2015
Last updated
03/29/2016
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