Alias, Sandy

Alias, Sandy is an individual health care provider with primary practice located at 4400 N State Road 7 , Lauderdale Lakes FL 33319-5862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Alias, Sandy can be contacted via phone (954) 486-8020.

Contact Information

Primary practice address
4400 N State Road 7 Lauderdale Lakes FL 33319-5862
Phone: (954) 486-8020
Fax: (954) 486-8983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN11002181 Florida

Profile Details

NPI number 1477114049
LBN Legal business name Alias, Sandy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Dec 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477114049 NPPES
Florida MEDICAID 104659500

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