Healthcare Provider Details

I. General information

NPI: 1639473515
Provider Name (Legal Business Name): ARNALDO SANCHEZ D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2011
Last Update Date: 02/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 E FOWLER AVE APT 2812
TAMPA FL
33612-5416
US

IV. Provider business mailing address

PO BOX 82969
TAMPA FL
33682-2969
US

V. Phone/Fax

Practice location:
  • Phone: 813-866-0950
  • Fax: 813-866-0929
Mailing address:
  • Phone: 813-866-0930
  • Fax: 813-866-0929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO1156
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS10984
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: