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Individual
ROBERT C SANFORD
Active
Individual
ROBERT C SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
ARNP 9202171
FL
363L00000X
Nurse Practitioner
Primary
ARNP9202171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306547200
—
FL
01
—
P00809977
RR MCR ATTACHED TO GRP# CJ8845
FL
01
—
Y135U
BCBS
FL
Enumeration date
09/19/2005
Last updated
01/16/2015
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