Organization
BARTRAM PARK FAMILY ENT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M SANDLER MD (OWNER)
(904) 446-9191
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL 32258-5212
(904) 446-9191
(904) 446-9189
Mailing address
13241 BARTRAM PARK BLVD, SUITE 801, JACKSONVILLE, FL 32258-5212
(904) 446-9191
(904) 446-9189
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AE231
MEDICARE GROUP
FL
Enumeration date
11/07/2006
Last updated
12/09/2015
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