Sando, Jane Park

Sando, Jane Park is an individual health care provider with primary practice located at 601 5Th St S All Children'S Specialty Physicians, St Petersburg FL 33701-4804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Sando, Jane Park can be contacted via phone (727) 767-3051.

Contact Information

Primary practice address
601 5Th St S All Children'S Specialty Physicians St Petersburg FL 33701-4804
Phone: (727) 767-3051
Fax: (727) 767-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D73945 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A130695 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME124323 Florida

Profile Details

NPI number 1205079407
LBN Legal business name Sando, Jane Park
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Sep 21st, 2015 - about 10 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 1205079407 NPPES
Maryland MEDICAID 056591100

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