Individual
MRS. MIRIAM R. SANDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5151 RALEIGH ST, ORLANDO, FL 32811-3926
(407) 296-5177
(407) 521-4699
Mailing address
5151 RALEIGH ST, ORLANDO, FL 32811-3926
(407) 296-5177
(407) 521-4699
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP623922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265670053
NPI
FL
05
—
3011925-00
—
FL
01
—
ARNP623922
ARNP LICENSE
FL
Enumeration date
02/02/2009
Last updated
02/02/2009
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