Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME 71673 | FL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME 71673 | FL |
N | 207VG0400X | Gynecologist | ME 71673 | FL |
NPI | 1851377642 |
---|---|
Provider Name | Mr. Mark D Sanchez |
First Address | Clearwater, FL 33759-1353 |
Second Address | Tampa, FL 33614-7144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 27/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
256469600 | (05) | FL |
G92346 | (02) | FL |