Provider Demographics
NPI:1821222480
Name:SANCHEZ, JULIAN A (MD)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12902 MAGNOLIA DR
Mailing Address - Street 2:FOB-2 GI PROGRAM
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612
Mailing Address - Country:US
Mailing Address - Phone:813-745-4673
Mailing Address - Fax:813-745-7229
Practice Address - Street 1:12902 MAGNOLIA DR
Practice Address - Street 2:FOB-2 GI PROGRAM
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-745-4673
Practice Address - Fax:813-745-7229
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.088987208600000X
CAA117733208C00000X
FLME117577208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery