| Mr Charles David Sanford, PA | |
|
4801 S Congress Ave, Suite 301, Lake Worth, FL 33461-4746 | |
| (561) 967-6500 | |
| (561) 433-4175 |
| Full Name | Mr Charles David Sanford |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 4801 S Congress Ave, Lake Worth, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295773711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA 3377 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Jfk Hospital | Atlantis, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Specialtycare Surgical Assist, Llc | 3274446497 | 33 |
| Entity Name | Specialtycare Surgical Assist, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740395748 PECOS PAC ID: 3274446497 Enrollment ID: O20031112000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles David Sanford, PA 4801 S Congress Ave, Suite 301, Lake Worth, FL 33461-4746 Ph: (561) 967-6500 | Mr Charles David Sanford, PA 4801 S Congress Ave, Suite 301, Lake Worth, FL 33461-4746 Ph: (561) 967-6500 |
Lori Ann Anthony, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 142 John F Kennedy Dr, Lake Worth, FL 33462 Phone: 561-439-1500 Fax: 561-439-9902 |
Mauricio Zuluaga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 238 Fordham Dr, Lake Worth, FL 33460 Phone: 561-929-3626 |
Ms. Eileen M Flanagan, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4801 S Congress Ave, Suite 301, Lake Worth, FL 33461 Phone: 561-967-6500 Fax: 561-963-5600 |
Ms. Jordan Nicole Feltis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5808 S Jog Rd, Lake Worth, FL 33467 Phone: 561-968-7546 |
John Santoro, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10628 Paso Fino Dr, Lake Worth, FL 33449 Phone: 954-540-9390 |
Elizabeth Mignano, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4640 Hypoluxo Rd, Lake Worth, FL 33463 Phone: 561-296-1715 |
Amy M Rosenbloom, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6599 Blue Bay Cir, Lake Worth, FL 33467 Phone: 561-317-1337 |