Individual
JAIME E SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 407-7097
(321) 600-2012
Mailing address
3300 S FISKE BLVD STE 503, ROCKLEDGE, FL 32955-4306
(321) 407-7097
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME108792
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME108792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005977200
—
FL
01
—
14LH0
BLUE CROSS BLUE SHIELD
FL
01
—
PENDING
HFMG
FL
01
—
WT190
HFMG
FL
Enumeration date
07/12/2007
Last updated
04/08/2026
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