Individual
MR. CHARLES DAVID SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4801 S CONGRESS AVE, SUITE 301, LAKE WORTH, FL 33461-4746
(561) 967-6500
(561) 433-4175
Mailing address
4801 S CONGRESS AVE, SUITE 301, LAKE WORTH, FL 33461-4746
(561) 967-6500
(561) 433-4175
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 3377
FL
Other
Enumeration date
06/04/2006
Last updated
11/05/2010
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