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Individual

DR. MARIO ROLANDO SANCHEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1877 FORTUNE RD, KISSIMMEE, FL 34744-4428
(407) 943-8600
Mailing address
10031 SW 77TH CT, MIAMI, FL 33156-2678
(305) 245-1520

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME55384
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037963804
FL
Enumeration date
03/08/2007
Last updated
05/26/2021
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