| Katie Michele Sanford, APRN | |
|
2915 Lakeview Dr Ste 1001, Fern Park, FL 32730-2050 | |
| (407) 900-0613 | |
| (407) 335-6945 |
| Full Name | Katie Michele Sanford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 2915 Lakeview Dr Ste 1001, Fern Park, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336700434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11002963 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11002963 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Travel Doctor Pl | 2567686090 | 47 |
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| The Clinicians, Llc | 7214154509 | 48 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Travel Doctor Pl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164842225 PECOS PAC ID: 2567686090 Enrollment ID: O20140624000336 |
| Entity Name | The Clinicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346669447 PECOS PAC ID: 7214154509 Enrollment ID: O20140811000750 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Michele Sanford, APRN 2915 Lakeview Dr Ste 1001, Fern Park, FL 32730-2050 Ph: (407) 900-0613 | Katie Michele Sanford, APRN 2915 Lakeview Dr Ste 1001, Fern Park, FL 32730-2050 Ph: (407) 900-0613 |
Marie Samantha Florestal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2601 Wells Ave Ste 141, Fern Park, FL 32730 Phone: 407-335-4050 Fax: 888-595-5746 | |
Santi Rekha Chellu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2915 Lakeview Dr # 1001, Fern Park, FL 32730 Phone: 407-900-0613 Fax: 407-335-6945 | |
Bryant Sanchez-domenech, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd, Fern Park, FL 32730 Phone: 407-831-2411 Fax: 407-831-0195 | |
Angela Patricia Salazar De Torres, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2915 Lakeview Dr Ste 1001, Fern Park, FL 32730 Phone: 074-900-0613 Fax: 407-335-6945 | |
Roxand Villoch, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2915 Lakeview Dr Unit 1001, Fern Park, FL 32730 Phone: 407-900-0613 |