Organization
SUNRISE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDEEP PRUTHI MD (OWNER)
(863) 734-0344
Entity
Organization
Contact information
Practice address
25103 HWY 27, LAKE WALES, FL 33859-6843
(863) 734-0344
(877) 658-8666
Mailing address
25103 HWY 27, LAKE WALES, FL 33859-6843
(863) 734-0344
(877) 658-8666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
11/27/2025
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