| William E. Sanchez, MD PA | |
|
17429 Sw 54th St Miramar FL 33029-5068 | |
| (954) 439-0531 | |
| (954) 441-7401 |
| Full Name | William E. Sanchez, MD PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 17429 Sw 54th St, Miramar, Florida |
| Authorized Official Name and Position | William E Sanchez (PRESIDENT) |
| Authorized Official Contact | 9544390531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William E. Sanchez, MD PA 17429 Sw 54th St Miramar FL 33029 Ph: (954) 439-0531 | William E. Sanchez, MD PA 17429 Sw 54th St Miramar FL 33029-5068 Ph: (954) 439-0531 |
| NPI Number | 1356556443 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 6406949585 |
|---|---|
| Medicare Enrollment ID | O20071109000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356556443 | NPI | - | NPPES |
| AD817 | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME86153 (Florida) | Primary |
| Provider Name | William E Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659321636 PECOS PAC ID: 5597724773 Enrollment ID: I20041006000185 |
| Provider Name | Odalys Mederos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497058358 PECOS PAC ID: 5799966230 Enrollment ID: I20110216001102 |
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