Individual
MR. SCOTT DONALD SANDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1300 N SEMORAN BLVD, SUITE 195, ORLANDO, FL 32807-3557
(407) 282-2926
Mailing address
10407 LARISSA ST, ORLANDO, FL 32821-8831
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9195067
FL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN9195067
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN9195067
FL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN9195067
FL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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