Sanders, Charles E

Sanders, Charles E is an individual health care provider with primary practice located at 12662 Telecom Dr , Temple Terrace FL 33637-0935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Sanders, Charles E can be contacted via phone (813) 910-8708.

Contact Information

Primary practice address
12662 Telecom Dr Temple Terrace FL 33637-0935
Phone: (813) 910-8708
Fax: (855) 852-7153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME62847 Florida

Profile Details

NPI number 1033112255
LBN Legal business name Sanders, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 25th, 2017 - about 7 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 1033112255 NPPES
Florida Other 18235X MEDICARE PTAN
Florida MEDICAID 371667800 MEDICARE PTAN

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