Organization
SUNSHINE SURGICAL AND WOUND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MARRIOTT MD (MANAGING MEMBER)
(310) 402-6811
Entity
Organization
Contact information
Practice address
630 GRIFFIN AVE, LADY LAKE, FL 32159-8101
(877) 850-8762
(877) 480-9940
Mailing address
222 N PACIFIC COAST HWY STE 2175, EL SEGUNDO, CA 90245-5639
(877) 850-8762
(877) 480-9940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/14/2018
Last updated
11/08/2018
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