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1881691681

NPI Code Detail

MEDICARE: ROY W SANDERS MD

MEDICARE: ROY W SANDERS MD

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	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	ME52022	FL
2	207XX0801X	Orthopaedic Trauma Physician	ME52022	FL
3	207X00000X	Orthopaedic Surgery Physician	ME52022	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	010032241	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0307720	OTHER	FL	CIGNA
2	04844	OTHER	FL	BC/BS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4240458	OTHER	FL	AETNA
6	203668	OTHER	FL	AVMED
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881691681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROY W SANDERS MD

Provider Business Mailing Address
First Line	:	5901 E FOWLER AVE STE 100
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-2305
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-972-5055

Provider Business Practice Location Address
First Line	:	5901 E FOWLER AVE STE 100
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-2305
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-558-6138

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/26/2025

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1578568291 — ALFRED V HESS MD
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Directions to “ ROY W SANDERS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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