Provider Demographics
NPI:1952954539
Name:SANCHEZ, JUAN EDUARDO (MD)
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:EDUARDO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2180 W SR 434 STE 1164
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5008
Mailing Address - Country:US
Mailing Address - Phone:407-515-2211
Mailing Address - Fax:407-309-5412
Practice Address - Street 1:201 N PARK AVE STE 206
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4147
Practice Address - Country:US
Practice Address - Phone:407-515-2290
Practice Address - Fax:407-703-4574
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2024-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME168995207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology