Healthcare Provider Details

I. General information

NPI: 1356259253
Provider Name (Legal Business Name): RICHARD SANCHEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NATURE WALK PKWY UNIT 101
SAINT AUGUSTINE FL
32092-4903
US

IV. Provider business mailing address

8681 A C SKINNER PKWY APT 634
JACKSONVILLE FL
32256-0846
US

V. Phone/Fax

Practice location:
  • Phone: 904-528-2132
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: