Provider Demographics
NPI:1780189738
Name:SANDERS, JANE SAEMI (DO)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:SAEMI
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:SAEMI
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:119 STEINBECK WAY APT D
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8568
Mailing Address - Country:US
Mailing Address - Phone:562-922-3338
Mailing Address - Fax:
Practice Address - Street 1:800 E BROWARD BLVD STE 310
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2024
Practice Address - Country:US
Practice Address - Phone:954-361-2669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-029822084P0800X
FLOS170262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry