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General NPI Number Information
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NPI Number | 1306915277
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Entity Type | Organization
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Legal Business Name | BARTRAM PARK FAMILY ENT, P.A.
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 13241 BARTRAM PARK BLVD SUITE 801
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5212
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Country | US
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Telephone | 904-446-9191
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Fax | 904-446-9189
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Provider Business Mailing Address
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Address Line | 13241 BARTRAM PARK BLVD SUITE 801
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City | JACKSONVILLE
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State | FL
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Zip | 32258-5212
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Country | US
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Telephone | 904-446-9191
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Fax | 904-446-9189
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY M SANDLER
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Credential | MD
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Telephone | 904-446-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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