Individual
HECTOR LUIS SANCHEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 LAURINA ST APT 130, JACKSONVILLE, FL 32216-9054
(786) 720-3271
Mailing address
333 LAURINA ST APT 130, JACKSONVILLE, FL 32216-9054
(786) 720-3271
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S522332893820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
FL
Enumeration date
02/16/2019
Last updated
02/16/2019
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