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NPI Code Detail

MEDICARE: ANGEL SANCHEZ

MEDICARE: ANGEL SANCHEZ
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11858OTHERCAADC1

General Provider Information

NPI Number : 1437285434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL SANCHEZ
Provider Business Mailing Address
First Line : 660 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-2933
Country : US
Telephone Number : 904-899-6300
Fax Number : 904-899-6380
Provider Business Practice Location Address
First Line : 660 PARK ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-2933
Country : US
Telephone Number : 904-899-6300
Fax Number : 904-899-6380
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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Directions to “ ANGEL SANCHEZ ” Practice Location

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