Provider Demographics
NPI:1639473515
Name:SANCHEZ, ARNALDO (DO)
Entity Type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 82969
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33682-2969
Mailing Address - Country:US
Mailing Address - Phone:813-866-0930
Mailing Address - Fax:813-866-0929
Practice Address - Street 1:1502 E FOWLER AVE
Practice Address - Street 2:APT 2812
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5416
Practice Address - Country:US
Practice Address - Phone:813-866-0950
Practice Address - Fax:813-866-0929
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO1156207R00000X
FLOS10984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003949900Medicaid
FLFP083TOtherMEDICARE
FL1417953571OtherNPI ORGINIZATION