Healthcare Provider Details

I. General information

NPI: 1073526018
Provider Name (Legal Business Name): JUAN SAUER, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 02/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 BELLEVUE AVE STE 102
ORLANDO FL
32806-2933
US

IV. Provider business mailing address

1802 BELLEVUE AVE STE 102
ORLANDO FL
32806-2933
US

V. Phone/Fax

Practice location:
  • Phone: 407-841-1971
  • Fax: 407-841-1403
Mailing address:
  • Phone: 407-841-1971
  • Fax: 407-841-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME 28259
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberME0028259
License Number StateFL

VIII. Authorized Official

Name: DR. JUAN SAUER
Title or Position: PRESIDENT
Credential: MD
Phone: 407-841-1971