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NPI Code Detail

MEDICARE: NILDA SANCHEZ PA-C

MEDICARE: NILDA 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
1363AM0700XMedical Physician AssistantPA9117499FL
2363AS0400XSurgical Physician AssistantPA9117499FL
3363A00000XPhysician AssistantPA9117499FL

General Provider Information

NPI Number : 1720772809
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILDA SANCHEZ PA-C
Provider Business Mailing Address
First Line : 6398 67TH LN N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-5005
Country : US
Telephone Number : 727-244-4122
Fax Number :
Provider Business Practice Location Address
First Line : 401 W KENNEDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33606-1490
Country : US
Telephone Number : 813-253-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2023
Last Update Date : 06/05/2023

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Directions to “ NILDA SANCHEZ PA-C” Practice Location

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