Provider Demographics
NPI:1366559932
Name:SANCHEZ, JULIO ROBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:ROBERTO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4212 MAST CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-3959
Mailing Address - Country:US
Mailing Address - Phone:813-476-1646
Mailing Address - Fax:
Practice Address - Street 1:4212 MAST CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-3959
Practice Address - Country:US
Practice Address - Phone:813-476-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96652207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL276377000Medicaid
FLH54688Medicare UPIN