Individual
MR. JONATHAN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD JD
Contact information
Practice address
1155 35TH LN, SUITE 202, VERO BEACH, FL 32960-6521
(772) 778-7782
(772) 778-7879
Mailing address
1155 35TH LN, SUITE 202, VERO BEACH, FL 32960-6521
(772) 778-7782
(772) 778-7879
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME87851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00033828
RAILROAD MEDICARE
FL
01
—
U0856Y
MEDICARE
FL
Enumeration date
05/04/2006
Last updated
06/05/2013
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