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Organization

SINCLAIR SURGICAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARLENE E SINCLAIR M.D. (OWNER)
(863) 421-4407
Entity
Organization

Contact information

Practice address
131 WEBB DRIVE, SUITE B, DAVENPORT, FL 33837-5905
(863) 421-4407
(863) 422-2888
Mailing address
PO BOX 2507, DAVENPORT, FL 33836-2507
(863) 421-4407
(863) 422-2888

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME88406
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
195424
AMERIGROUP
FL
05
2684284 00
FL
01
7127058
AETNA
FL
01
81652
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/23/2007
Last updated
06/18/2008
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