Sandoval-Sus, Jose David
Sandoval-Sus, Jose David is an individual health care provider with primary practice located at 603 N Flamingo Rd Ste 151 , Pembroke Pines FL 33028-1021. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Sandoval-Sus, Jose David can be contacted via phone (954) 265-4325.Contact Information
Primary practice address
603 N Flamingo Rd Ste 151
Pembroke Pines FL 33028-1021
Phone: (954) 265-4325
Fax: (954) 443-4615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME116179 | Florida |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME116179 | Florida |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME116179 | Florida |
Profile Details
| NPI number | 1174846158 |
|---|---|
| LBN Legal business name | Sandoval-Sus, Jose David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2010 |
| Last updated | Apr 5th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174846158 | NPPES |
| Florida | MEDICAID | 021103800 |
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