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Contact Information

JOHN D SANDERSON, DO
7243 DELLA DR STE I
ORLANDO, FL32819-5126
 Phone: 321-843-5851
 Fax: 321-842-0089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN D SANDERSON · (Male)

NPI Number 1699262733
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/14/2018
Last updated 02/14/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS16376
  • FL Medicaid 120593700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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