Michael Clore Sanders
Family Doctor
301 Health Park Blvd Suite 327
St Augustine
, Florida 32086-5771
Michael Clore Sanders
Family Doctor
301 Health Park Blvd Suite 327
St Augustine
, Florida 32086-5771
(904) 825-0753
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Michael Clore Sanders
- 301 Health Park Blvd Suite 327
- St Augustine, FL
- Zip : 32086-5771
- Fax : (904) 825-0753
- Phone : (904) 825-3606
Second Address
- Michael Clore Sanders
- 301 Health Park Blvd Suite 327
- St Augustine, FL
- Zip : 32086-5771
- Fax : (904) 825-0753
- Phone : (904) 825-3606
Reviews
FAQs
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What is Michael Clore Sanders ’s gender?
Is Michael Clore Sanders a sole practitioner?
Is Michael Clore Sanders accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | ME0051448 | FL |
National Provider Identifier
| NPI | 1003817040 |
|---|---|
| Provider Name | Michael Clore Sanders |
| First Address | St Augustine, FL 32086-5771 |
| Second Address | St Augustine, FL 32086-5771 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2005 |
| Last Update Date | 18/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 047989600 | (05) | FL |
| 05969 | BCBS OF FL (01) | |
| 080012676 | RAILROAD MEDICARE (01) | |
| D61321 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.