Provider Demographics
NPI:1427448000
Name:NORMA B. SANCHEZ
Entity type:Organization
Organization Name:NORMA B. SANCHEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-845-7005
Mailing Address - Street 1:5340 GULF DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3950
Mailing Address - Country:US
Mailing Address - Phone:727-845-7005
Mailing Address - Fax:727-845-7047
Practice Address - Street 1:5340 GULF DR
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3950
Practice Address - Country:US
Practice Address - Phone:727-845-7005
Practice Address - Fax:727-845-7047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86422207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267527700Medicaid
FL57778Medicare PIN