Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS 10852 | FL |
Y | 207QA0401X | Family Doctor - Addiction Medicine | OS10852 | FL |
NPI | 1790915064 |
---|---|
Provider Name | Rachael N Sanchez |
First Address | Jacksonville, FL 32244-5597 |
Second Address | Jacksonville, FL 32258-5238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2009 |
Last Update Date | 27/08/2020 |