Provider Demographics
NPI:1740287846
Name:SANCHEZ, SANDRA PATRICIA (DO)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:PATRICIA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:SUITE 4900
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-802-9966
Mailing Address - Fax:561-802-9951
Practice Address - Street 1:3343 STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33449-8002
Practice Address - Country:US
Practice Address - Phone:561-795-9845
Practice Address - Fax:561-795-8791
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315008934208600000X
FLOS 10301208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP1035185OtherFREEDOM
FLPARPPOOtherCORVEL
MI020C311510OtherBCBSM
FL5968075OtherAETNA
FLIN PROCESSOtherPRIMEHEALTH
FL1230797OtherWELLCARE
FLP970935OtherOPTIMUM
FLPAROtherCARE PLUS
FLPAROtherCOVENTRY/VISTA
FLPENDINGMedicaid
FL12047OtherDIMENSION HEALTH PPO
FL325218OtherAVMED
FLPAR PPOOtherDIMENSION
MI1004747OtherINGHAM HEALTH PLAN
MI200000002658OtherPHYSICIANS HEALTH PLAN
FLPAR PPOOtherMULTIPLAN
FL0498887OtherCIGNA
FLPAROtherHUMANA
FLPAR PPOOtherUSA MCO
MI1004747OtherMCLAREN HEALTH PLAN
FL1468ZOtherBCBS
MI4404799Medicaid
FL498887OtherCIGNA
MICA3383OtherRAILROAD MEDICARE
FLPAROtherNHP
MI5330326OtherBCBSM
FLPAROtherHERITAGE SUMMIT
FLPAROtherUNITED
FLIN PROCESSOtherPRIMEHEALTH
MI1004747OtherMCLAREN HEALTH PLAN
FLPAROtherHUMANA
FLPENDINGMedicaid