Provider Demographics
NPI:1356051502
Name:SANCHEZ GONZALEZ, XAVIER (APRN)
Entity type:Individual
Prefix:
First Name:XAVIER
Middle Name:
Last Name:SANCHEZ GONZALEZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N ALAFAYA TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4316
Mailing Address - Country:US
Mailing Address - Phone:407-282-4400
Mailing Address - Fax:
Practice Address - Street 1:250 N ALAFAYA TRL STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4316
Practice Address - Country:US
Practice Address - Phone:407-282-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11023191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11023191OtherSTATE MEDICAL LICENSE
FL116413700Medicaid