Healthcare Provider Details

I. General information

NPI: 1598678039
Provider Name (Legal Business Name): JANINE SANDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 NW 33RD ST STE 102
DORAL FL
33122-1942
US

IV. Provider business mailing address

3016 SW 1ST AVE
MIAMI FL
33129-2748
US

V. Phone/Fax

Practice location:
  • Phone: 305-424-3043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: