MEDICARE: SANDRA A ALINCY

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1578099370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA A ALINCY

Provider Business Mailing Address
First Line	:	2031 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7833
Country	:	US
Telephone Number	:	954-300-6803
Fax Number	:

Provider Business Practice Location Address
First Line	:	2031 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7833
Country	:	US
Telephone Number	:	954-300-6803
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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Directions to “ SANDRA A ALINCY ” Practice Location

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