Individual
BIBIANA ROCIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
11455 SW VILLAGE PKWY APT 307, PORT SAINT LUCIE, FL 34987-2665
(754) 317-1938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A197107
CA
Other
Enumeration date
03/28/2021
Last updated
10/01/2025
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