Provider Demographics
NPI:1629379532
Name:SANCHEZ, SABRINA (DC)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:SOMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5154 CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-1252
Mailing Address - Country:US
Mailing Address - Phone:407-203-1222
Mailing Address - Fax:
Practice Address - Street 1:5154 CONWAY RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-1252
Practice Address - Country:US
Practice Address - Phone:407-203-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004255200Medicaid
FLFA162YMedicare UPIN