Individual
DR. SANFORD MACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 GULF OF MEXICO DR, #523, LONGBOAT KEY, FL 34228-4045
(941) 387-8518
(941) 383-3825
Mailing address
380 GULF OF MEXICO DR, #523, LONGBOAT KEY, FL 34228-4045
(941) 387-8518
(941) 383-3825
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13758-20
WI
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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