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NPI Code Detail

MEDICARE: JUAN SANCHEZ P.A.

MEDICARE: JUAN SANCHEZ P.A.
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
12084N0400XNeurology PhysicianME88300FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF419AOTHERFLMEDICARE

General Provider Information

NPI Number : 1316273527
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUAN SANCHEZ P.A.
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 : 954-840-2233
Fax Number : 954-840-4100
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. JUAN CARLOS SANCHEZ
Credential : MD
Telephone Number : 954-840-2233
Provider Enumeration Date : 10/22/2009
Last Update Date : 03/17/2018

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Directions to “JUAN SANCHEZ P.A. ” Practice Location

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