MEDICARE: BONNIE Z SANCHEZ DPM

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	213E00000X	Podiatrist	PO1960	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00202506	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699874180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONNIE Z SANCHEZ DPM

Provider Business Mailing Address
First Line	:	4040 UPPER CREEK DR STE 106
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6844
Country	:	US
Telephone Number	:	727-824-5100
Fax Number	:	727-824-5132

Provider Business Practice Location Address
First Line	:	4040 UPPER CREEK DR STE 106
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6844
Country	:	US
Telephone Number	:	727-824-5100
Fax Number	:	727-824-5132

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/27/2021

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Directions to “ BONNIE Z SANCHEZ DPM” Practice Location

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