Provider Demographics
NPI:1639388465
Name:SAUNDERS, ALICIA S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:S
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 FLAMINGO DR
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-4262
Mailing Address - Country:US
Mailing Address - Phone:863-533-4104
Mailing Address - Fax:863-533-4549
Practice Address - Street 1:2020 FLAMINGO DR
Practice Address - Street 2:
Practice Address - City:BARTOW
Practice Address - State:FL
Practice Address - Zip Code:33830-4262
Practice Address - Country:US
Practice Address - Phone:863-533-4104
Practice Address - Fax:863-533-4549
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME53259207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL07507OtherBCBS
07507YOtherWELLMED MEDICAL MANAGEMENT OF FLORIDA INC
FL07507OtherBCBS