Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP9213009 | FL |
NPI | 1033559380 |
---|---|
Provider Name | Douglas Sande |
First Address | Miami, FL 33137-2706 |
Second Address | Miami, FL 33126-2057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2013 |
Last Update Date | 17/08/2017 |