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Contact Information

ROBERT C SANFORD, ARNP
5220 BELFORT RD
SUITE 130
JACKSONVILLE, FL32256-6017
 Phone: 904-446-3451
 Fax: 904-446-3013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for ROBERT C SANFORD · (Male)

NPI # 1063407880
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 09/19/2005
Last updated 01/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP 9202171
  • FL License # ARNP9202171
  • FL Medicaid 306547200
  • FL Other Y135U BCBS
  • FL Other P00809977 RR MCR ATTACHED TO GRP# CJ8845
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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