Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME52022 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME52022 | FL |
N | 207XX0801X | Orthopaedic Trauma Surgeon | ME52022 | FL |
NPI | 1881691681 |
---|---|
Provider Name | Roy W Sanders |
First Address | Temple Terrace, FL 33637-0925 |
Second Address | Temple Terrace, FL 33637-0925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 15/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010032241 | MEDICARE RAILROAD (01) | FL |
0307720 | CIGNA (01) | FL |
047077500 | (05) | FL |
04844 | BC/BS (01) | FL |
203668 | AVMED (01) | FL |
4240458 | AETNA (01) | FL |