NPI Code Detail JSON Logo

1386350791 NPI number — SANDY L. FORONDA

NPI Number: 1386350791
Health Care Provider/Practitioner: SANDY L. FORONDA

Information about “1386350791” NPI (SANDY L. FORONDA) exists in 1386350791 in HTML format HTML  |  1386350791 in plain Text format TXT  |  1386350791 in PDF (Portable Document Format) PDF  |  1386350791 in an XML format XML  formats.

NPI Number : 1386350791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386350791",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FORONDA",
    "FirstName": "SANDY",
    "MiddleName": "L.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8502 KINGS RAIL WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33647-2491",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-843-8646",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2200 LIVINGSTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAND O LAKES",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34639-3416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-563-1151",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2023",
    "LastUpdateDate": "01/30/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "11100",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.