Healthcare Provider Details

I. General information

NPI: 1306568225
Provider Name (Legal Business Name): LAWRENCE WILLIAM SANCHEZ II DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2022
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 NORTHSIDE DR
KEY WEST FL
33040-8024
US

IV. Provider business mailing address

3156 NORTHSIDE DR
KEY WEST FL
33040-8024
US

V. Phone/Fax

Practice location:
  • Phone: 305-292-1805
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44770
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: