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NPI Code Detail

MEDICARE: JUDITH A SANDERS ARNP

MEDICARE:   JUDITH A SANDERS  ARNP
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
1363LF0000XFamily Nurse PractitionerARNP2675562FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y02CTOTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093948382
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH A SANDERS ARNP
Provider Business Mailing Address
First Line : 5350 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4562
Country : US
Telephone Number : 352-277-5348
Fax Number : 352-606-2857
Provider Business Practice Location Address
First Line : 1180 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5603
Country : US
Telephone Number : 352-686-1200
Fax Number : 352-688-5556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2009
Last Update Date : 04/21/2026

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