Provider Demographics
NPI:1629722806
Name:SANCHEZ, TATIANA (PHLEBOTOMY)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHLEBOTOMY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 WOODGATE CIR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2137
Mailing Address - Country:US
Mailing Address - Phone:954-826-7276
Mailing Address - Fax:
Practice Address - Street 1:504 WOODGATE CIR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33326-2137
Practice Address - Country:US
Practice Address - Phone:954-826-7276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCPT0200314246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty