Healthcare Provider Details

I. General information

NPI: 1366203127
Provider Name (Legal Business Name): DR. JAVIER E SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 09/29/2026
Certification Date: 10/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9935 THREE LAKES CIR
BOCA RATON FL
33428-6206
US

IV. Provider business mailing address

9935 THREE LAKES CIR
BOCA RATON FL
33428-6206
US

V. Phone/Fax

Practice location:
  • Phone: 786-290-8374
  • Fax:
Mailing address:
  • Phone: 786-290-8374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCADC-05-20-2083
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: