Agustin C Sanz Md Pa

LBN: Agustin C Sanz Md Pa
Agustin C Sanz Md Pa is an health care organization with primary practice located at 1420 Sw Saint Lucie West Blvd , Port St Lucie FL 34986-1709. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Agustin C Sanz Md Pa can be contacted via phone (772) 879-4667, or through Sanz, Carla via phone (772) 879-4667.

Contact Information

Primary practice address
1420 Sw Saint Lucie West Blvd Port St Lucie FL 34986-1709
Phone: (772) 879-4667
Fax: (772) 879-4478
Website:
Map and Directions
Authorized official contact:
Name: Sanz, Carla
Phone: (772) 879-4667

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME63215 Florida

Profile Details

NPI number 1366744997
LBN Legal business name Agustin C Sanz Md Pa
DBA Doing business as
Authorized official Sanz, Carla
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Jan 6th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366744997 NPPES
Florida MEDICAID 18918

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