MEDICARE: ERIC SINNER

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	390200000X	Student in an Organized Health Care Education/Training Program
2	367500000X	Certified Registered Nurse Anesthetist	APRN11026327	FL

General Provider Information

NPI Number	:	1891377693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SINNER

Provider Business Mailing Address
First Line	:	746 NE SPENCER ST
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-6161
Country	:	US
Telephone Number	:	772-763-9735
Fax Number	:

Provider Business Practice Location Address
First Line	:	9123 N MILITARY TRL STE 103
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-5968
Country	:	US
Telephone Number	:	561-622-2732
Fax Number	:

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

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	02/07/2024

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Directions to “ ERIC SINNER ” Practice Location

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