Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sunlake Pain Management, LLC

Organization Clinic/Center · NPI 1114153483

Sunlake Pain Management, LLC is a Clinic/Center in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18964 Dale Mabry Hwy N Ste 101
Lutz, FL 33548-4913
Phone: (813) 948-2107
Fax: (813) 948-2790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence HCC8458 (FL)

Record details

NPI number1114153483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Logrono — Medical Director · (813) 948-2107
Other names Sunlake Medical Associates
NPI enumeratedJune 1, 2009
Last updated in NPPESApril 1, 2010
Mailing address18964 Dale Mabry Hwy N, Ste 101, Lutz, FL 33548-4913

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