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Individual
MARIELA SANDI
Active
Individual
MARIELA SANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
340042
LA
363A00000X
Physician Assistant
PA9109078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4986247
AETNA
FL
01
—
7811530
CIGNA
FL
01
—
8YWJF
BCBS
FL
01
—
P01584458
RR MEDICARE
FL
01
—
P01584461
RR MEDICARE
FL
01
—
P01797372
SIMPLY
FL
01
—
P1035425
FREEDOM
FL
01
—
P971160
OPTIMUM
FL
Enumeration date
10/15/2015
Last updated
07/24/2024
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