MEDICARE: DR. JUAN SAUER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0127X	Trauma Surgery Physician	ME28259	FL
2	208600000X	Surgery Physician	ME 28259	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	ME289259	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1083674782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN SAUER M.D.

Provider Business Mailing Address
First Line	:	9430 TURKEY LAKE RD
Second Line	:	STE 114
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-1202
Fax Number	:	407-351-8801

Provider Business Practice Location Address
First Line	:	9430 TURKEY LAKE RD
Second Line	:	STE 114
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-354-1202
Fax Number	:	407-351-8801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	11/14/2016

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