Buchanan, Sandra
Buchanan, Sandra is an individual health care provider with primary practice located at 1185 Dunlawton Ave Suite 104, Port Orange FL 32127-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Buchanan, Sandra can be contacted via phone (386) 767-5477.Contact Information
Primary practice address
1185 Dunlawton Ave Suite 104
Port Orange FL 32127-2905
Phone: (386) 767-5477
Fax: (386) 767-5580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME71541 | Florida |
Profile Details
| NPI number | 1003923731 |
|---|---|
| LBN Legal business name | Buchanan, Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Feb 10th, 2014 - about 12 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 | 1003923731 | NPPES |
| Florida | Other | ME71541 | STATE MEDICAL LICENSE |
| Florida | Other | 43582 | STATE MEDICAL LICENSE |
| Florida | MEDICAID | 255109800 | STATE MEDICAL LICENSE |
Popular Providers
-
Guirgis, Wagid Fahim
1690 Dunlawton Ave Ste 220 , Port Orange FL 32127-8980 -
White, Donald
740 Dunlawton Ave , Port Orange FL 32127-4901 -
Gonzalez, Tara
790 Dunlawton Ave Ste E , Port Orange FL 32127-4222 -
Grube, Joshua Dale
1165 Dunlawton Ave Ste 105 , Port Orange FL 32127 -
Mantineo, Johnna
5535 S Williamson Blvd Suite 700, Port Orange FL 32128-8311 -
Kovats, Christian A
3821 Woodbriar Trl Ste 6 , Port Orange FL 32129-9611 -
Wilder, Joey Darren
5535 S Williamson Blvd Ste 700 , Port Orange FL 32128-8321 -
Bernardo, George Thomas
790 Dunlawton Ave Suite E, Port Orange FL 32127-9279