Sunshine State Medical Clinic PA

NPI #1063683126 in Ocala, Florida

Provider Information

NPI Number: 1063683126
Entity Type: Organization
Organization Name: Sunshine State Medical Clinic PA
Primary Specialty: Internal Medicine
Enumeration Date: Mar 17, 2008
Last Updated: Jun 27, 2008

Practice Location

Address: 1305 SE 25TH LOOP STE 103
City: Ocala
State: Florida
ZIP Code: 34471-6090
Phone: (352) 369-5440

Authorized Official

Name: DR. UDAY SHANKER MISHRA, MD
Title: PRESIDENT
Phone: (352) 369-5440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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