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NPI Code Detail

MEDICARE: ELAINE SANCHEZ PA-C

MEDICARE:   ELAINE  SANCHEZ  PA-C
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
1363A00000XPhysician AssistantPA9104847FL
2363AM0700XMedical Physician AssistantPA9104847FL

Other Identifiers

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

General Provider Information

NPI Number : 1508003583
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE SANCHEZ PA-C
Provider Business Mailing Address
First Line : 777 E 25TH ST STE 312
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3849
Country : US
Telephone Number : 305-392-0380
Fax Number :
Provider Business Practice Location Address
First Line : 777 E 25TH ST STE 312
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3849
Country : US
Telephone Number : 305-392-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 03/07/2023

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Directions to “ ELAINE SANCHEZ PA-C” Practice Location

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