MEDICARE: DR. AGUSTIN C SANZ 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	207R00000X	Internal Medicine Physician	ME63215	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902841661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AGUSTIN C SANZ MD

Provider Business Mailing Address
First Line	:	293 NW PEACOCK BLVD STE 101-104
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2222
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-879-4478

Provider Business Practice Location Address
First Line	:	293 NW PEACOCK BLVD STE 101-104
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2222
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-879-4478

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	01/20/2022

Similar Medicare Providers

1629073382 — CHRISTOPHER ROBIN CROMWELL MD
Practice Location Address:

293 NW PEACOCK BLVD STE 201
PORT SAINT LUCIE, FL
34986-2222

Practice Phone: 772-204-8870
Practice Fax: 772-204-8873

1114085842 — DR. EDWARD K KANKAM D.O.
Practice Location Address:

293 NW PEACOCK BLVD STE 101-104
PORT SAINT LUCIE, FL
34986-2222

Practice Phone: 772-335-9600
Practice Fax: 772-879-4478

1427531771 — KURTIS ANTONIO DICKSON PA-C
Practice Location Address:

293 NW PEACOCK BLVD STE 201
PORT SAINT LUCIE, FL
34986-2222

Practice Phone: 772-204-8870
Practice Fax: 772-204-8873

1205581931 — ADELINE RICHMOND NARCISSE APRN
Practice Location Address:

293 NW PEACOCK BLVD STE 202
PORT SAINT LUCIE, FL
34986-2222

Practice Phone: 772-878-6599
Practice Fax:

1639328537 — KELLY J. ROMANELLY
Practice Location Address:

293 NW PEACOCK BLVD
PORT ST LUCIE, FL
34986-2222

Practice Phone: 772-336-6601
Practice Fax: 772-446-7681

1396062337 — DR. JUSTIN ANDREW MUSKOVICH M.D.
Practice Location Address:

293 NW PEACOCK BLVD STE 204
PORT ST LUCIE, FL
34986-2222

Practice Phone: 772-879-4667
Practice Fax: 772-879-4478

Directions to “ DR. AGUSTIN C SANZ 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.