Provider Demographics
NPI:1740584135
Name:SANCHEZ, MICHAEL (DNP, APRN, FAANP)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:DNP, APRN, FAANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3372 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2257
Mailing Address - Country:US
Mailing Address - Phone:305-498-2592
Mailing Address - Fax:786-502-2699
Practice Address - Street 1:3661 S MIAMI AVE STE 1002
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4214
Practice Address - Country:US
Practice Address - Phone:786-502-2688
Practice Address - Fax:786-502-2699
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-29
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR218105363LF0000X
FLAPRN9250622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily