Healthcare Provider Details

I. General information

NPI: 1508072026
Provider Name (Legal Business Name): JASON B SANDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 BRUCE B DOWNS BLVD STE 205
WESLEY CHAPEL FL
33544-9216
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-914-1120
  • Fax: 813-605-6074
Mailing address:
  • Phone:
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME102131
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberME 102131
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: