Provider Demographics
NPI:1811937899
Name:SANDS, JEFFREY JENKINS (MD MMM)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JENKINS
Last Name:SANDS
Suffix:
Gender:M
Credentials:MD MMM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13887 ELIOT AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7418
Mailing Address - Country:US
Mailing Address - Phone:407-973-1398
Mailing Address - Fax:407-313-0729
Practice Address - Street 1:231 CELEBRATION BLVD
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5018
Practice Address - Country:US
Practice Address - Phone:407-566-0683
Practice Address - Fax:407-566-0676
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2016-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77320207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology