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

W Sand Lake Medical Group LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1558726257

W Sand Lake Medical Group LLC is an Addiction Medicine (Internal Medicine) Physician in Orlando, Florida. Registered with an NPI since 2015.

In the registry since
2015
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

2431 Sand Lake Rd
Orlando, FL 32809-7641
Phone: (855) 876-8648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1558726257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Matteo — Cfo · (561) 318-4430
NPI enumeratedDecember 22, 2015
Last updated in NPPESDecember 22, 2015
Mailing address2328 10th Ave N Ste 302, Lake Worth, FL 33461-6612

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