Provider Demographics
NPI:1487182549
Name:SANGER MEDICAL AND INFECTIOUS DISEASES LLC
Entity Type:Organization
Organization Name:SANGER MEDICAL AND INFECTIOUS DISEASES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-605-1747
Mailing Address - Street 1:PO BOX 821807
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-1807
Mailing Address - Country:US
Mailing Address - Phone:954-605-1747
Mailing Address - Fax:
Practice Address - Street 1:7351 W. OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-605-1747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty