Healthcare Provider Details

I. General information

NPI: 1891711685
Provider Name (Legal Business Name): JORGE HUMBERTO SANCHEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1599 TROPICAL CT STE 8
TAVARES FL
32778-4323
US

IV. Provider business mailing address

PO BOX 96674
PHOENIX AZ
85072-6674
US

V. Phone/Fax

Practice location:
  • Phone: 650-814-4524
  • Fax:
Mailing address:
  • Phone: 650-814-4524
  • Fax: 239-599-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME160030
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME96326
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: