MEDICARE: SYLVIA SANDERSON ARNP

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	363LA2200X	Adult Health Nurse Practitioner	1332912	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1332912	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1811320658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA SANDERSON ARNP

Provider Business Mailing Address
First Line	:	4272 ONEGA CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7869
Country	:	US
Telephone Number	:	954-242-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	4272 ONEGA CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7869
Country	:	US
Telephone Number	:	954-242-5805
Fax Number	:

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

Provider Enumeration Date	:	08/15/2013
Last Update Date	:	08/15/2013

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