MEDICARE: MR. JUAN CARLOS SANCHEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	ME88300	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	81463Z	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003891656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JUAN CARLOS SANCHEZ MD

Provider Business Mailing Address
First Line	:	7707 N UNIVERSITY DR STE 101
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2954
Country	:	US
Telephone Number	:	954-840-2233
Fax Number	:	954-840-4100

Provider Business Practice Location Address
First Line	:	7707 N UNIVERSITY DR STE 101
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-2954
Country	:	US
Telephone Number	:	954-840-4068
Fax Number	:	954-840-2236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	03/17/2018

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