Sanders, Michael Clore

Sanders, Michael Clore is an sole proprietor health care provider with primary practice located at 301 Health Park Blvd Suite 327, St Augustine FL 32086-5771. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sanders, Michael Clore can be contacted via phone (904) 825-3606.

Contact Information

Primary practice address
301 Health Park Blvd Suite 327 St Augustine FL 32086-5771
Phone: (904) 825-3606
Fax: (904) 825-0753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0051448 Florida

Profile Details

NPI number 1003817040
LBN Legal business name Sanders, Michael Clore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Jun 18th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003817040 NPPES
Other 05969 BCBS OF FL
Other 080012676 BCBS OF FL
MEDICAID 047989600 BCBS OF FL

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