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NPI Code Detail

MEDICARE: SADY FERNANDEZ SANJURJO

MEDICARE: SADY FERNANDEZ SANJURJO
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
1106S00000XBehavior TechnicianRBT-26-523007FL

General Provider Information

NPI Number : 1134062797
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADY FERNANDEZ SANJURJO
Provider Business Mailing Address
First Line : 4727 RIDGE POINT DR
Second Line :
City : TAMPA
State : FL
Zip : 33624-6323
Country : US
Telephone Number : 786-817-3118
Fax Number :
Provider Business Practice Location Address
First Line : 5051 MEMORIAL HWY UNIT B
Second Line :
City : TAMPA
State : FL
Zip : 33634-7355
Country : US
Telephone Number : 813-464-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ SADY FERNANDEZ SANJURJO ” Practice Location

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