Iverson, Sandra Sue

Iverson, Sandra Sue is an individual health care provider with primary practice located at 5201 Raymond St , Orlando FL 32803-8208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Iverson, Sandra Sue can be contacted via phone (407) 629-1599.

Contact Information

Primary practice address
5201 Raymond St Orlando FL 32803-8208
Phone: (407) 629-1599
Fax: (407) 599-1414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0001915 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN42171-2 Florida

Profile Details

NPI number 1265460844
LBN Legal business name Iverson, Sandra Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 19 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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