OrganizationActive
W Sand Lake Medical Group LLC
NPI 1558726257 · Addiction Medicine (Internal Medicine) Physician · Orlando, FL
Provider details
- NPI number
- 1558726257
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Nick Matteo, Cfo
Mailing address
2328 10th Ave N Ste 302
Lake Worth, FL 33461-6612
Registry dates
- Enumerated
- 2015-12-22
- Last updated
- 2015-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.