Sandifer, Dean Preston

Sandifer, Dean Preston is an individual health care provider with primary practice located at 1324 Lakeland Hills Blvd Attn: Medical Staff Office, Lakeland FL 33805-4543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Sandifer, Dean Preston can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Attn: Medical Staff Office Lakeland FL 33805-4543
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME69779 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME69779 Florida

Profile Details

NPI number 1396719365
LBN Legal business name Sandifer, Dean Preston
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 31st, 2023 - about last year

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 1396719365 NPPES
Florida MEDICAID 250813300

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