Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0057079 | FL |
NPI | 1003804246 |
---|---|
Provider Name | Mr. Eulogio J Sanchez |
First Address | Bradenton, FL 34209-5533 |
Second Address | Bradenton, FL 34209-5533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 31/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F81691 | (02) |