Individual
DEAN PRESTON SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
(863) 680-7000
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
(863) 680-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME69779
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME69779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250813300
—
FL
Enumeration date
02/15/2006
Last updated
05/31/2023
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