Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | ME129197 | FL |
NPI | 1174500169 |
---|---|
Provider Name | Dr. Nilsa Raquel Sanchez |
First Address | Orlando, FL 32821-6027 |
Second Address | St Petersburg, FL 33710-1536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 20/08/2019 |