Sandusky, Renee

Sandusky, Renee is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Sandusky, Renee can be contacted via phone (386) 917-7108.

Contact Information

Primary practice address
1055 Saxon Blvd Orange City FL 32763-8468
Phone: (386) 917-7108
Fax: (386) 917-7293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11028816 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN11028816 Florida

Profile Details

NPI number 1659042455
LBN Legal business name Sandusky, Renee
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2021
Last updated Jan 12th, 2026 - about 9 months 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 1659042455 NPPES
Florida MEDICAID 111953100

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