Provider Demographics
NPI:1386001352
Name:BOSCAN SANCHEZ, MARIANA CAROLINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIANA
Middle Name:CAROLINA
Last Name:BOSCAN SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIANA
Other - Middle Name:CAROLINA
Other - Last Name:BOSCAN SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7560 RED BUG LAKE RD STE 1070
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6591
Mailing Address - Country:US
Mailing Address - Phone:407-366-4040
Mailing Address - Fax:
Practice Address - Street 1:7560 RED BUG LAKE RD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6591
Practice Address - Country:US
Practice Address - Phone:407-366-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10353100208000000X
FLME159866208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics