MEDICARE: JUAN SAUER, MD, PA

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	282N00000X	General Acute Care Hospital	ME0028259	FL
2	174400000X	Specialist	ME 28259	FL

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	:	1073526018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUAN SAUER, MD, PA

Provider Business Mailing Address
First Line	:	1802 BELLEVUE AVE STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2933
Country	:	US
Telephone Number	:	407-841-1971
Fax Number	:	407-841-1403

Provider Business Practice Location Address
First Line	:	1802 BELLEVUE AVE STE 102
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2933
Country	:	US
Telephone Number	:	407-841-1971
Fax Number	:	407-841-1403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUAN SAUER
Credential	:	MD
Telephone Number	:	407-841-1971

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	02/11/2010

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