Basic Information
Provider Information
NPI: 1245275767
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SUNGUR
FirstName: MURAT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SUNGUR
OtherFirstName: MURAT
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: PO BOX 918025
Address2:  
City: ORLANDO
State: FL
PostalCode: 328918025
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1600 SW ARCHER RD
Address2:  
City: GAINESVILLE
State: FL
PostalCode: 326103003
CountryCode: US
TelephoneNumber: 3522650483
FaxNumber: 3523389861
Other Information
ProviderEnumerationDate: 06/18/2006
LastUpdateDate: 02/21/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMFC1543FLY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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