SUNLAKE MEDICAL ASSOCIATES
NPI 1114153483
Clinic/Center in Lutz, FL

Active since June 01, 2009
18964 DALE MABRY HWY N, STE 101, LUTZ, FL 33548(813) 948-2107(813) 948-2790 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sunlake Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNLAKE MEDICAL ASSOCIATES (NPI 1114153483) is a healthcare organization registered as a clinic/center in Lutz, Florida and active in the NPI registry since June 2009. The organization lists Luis A. Logrono, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114153483
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUNLAKE PAIN MANAGEMENT, LLC
Location Address18964 DALE MABRY HWY N, STE 101Lutz, FL 33548-4913
Mailing Address18964 Dale Mabry Hwy N, Ste 101Lutz, FL 33548-4913 · (813) 948-2107 · Fax (813) 948-2790
Fax(813) 948-2790
Organization SubpartNo
Authorized OfficialLuis A. LogronoMedical Director · (813) 948-2107
Enumeration DateJune 1, 2009
Last NPPES UpdateApril 1, 2010
NPI 1114153483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in FL · HCC8458
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

18964 DALE MABRY HWY N, Lutz, FL 33548

Other Names 1

Doing Business AsSunlake Medical Associates

Other Identifiers 1

Medicare PINCI914AFL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
18964 DALE MABRY HWY N, SUITE 101
LUTZ, FL 33548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sunlake Pain Management, LLC's NPI number?

The NPI number for Sunlake Pain Management, LLC is 1114153483. It was assigned to this organization in the NPPES registry on June 1, 2009. The provider is doing business as Sunlake Medical Associates.

Where is Sunlake Pain Management, LLC located?

Sunlake Pain Management, LLC is located at 18964 Dale Mabry Hwy N Ste 101, Lutz, FL 33548. The listed phone number is (813) 948-2107.

What is Sunlake Pain Management, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Sunlake Pain Management, LLC was last updated on April 1, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.