Provider Demographics
NPI:1851554547
Name:ROBERT C SANFORD ARNP PL
Entity Type:Organization
Organization Name:ROBERT C SANFORD ARNP PL
Other - Org Name:WOUND SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:941-518-5219
Mailing Address - Street 1:303 75TH STREET CT NW
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-7221
Mailing Address - Country:US
Mailing Address - Phone:941-518-5219
Mailing Address - Fax:941-795-0748
Practice Address - Street 1:303 75TH STREET CT NW
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-7221
Practice Address - Country:US
Practice Address - Phone:941-518-5219
Practice Address - Fax:941-795-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9202171363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10634407880OtherNPI
FL10634407880OtherNPI