Individual
DR. CHAD ROBERT SANBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 45TH ST, MANGONIA PARK, FL 33407-2450
(561) 844-8354
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146
(305) 661-1515
(305) 662-3723
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME 96300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001311900
—
FL
Enumeration date
08/05/2007
Last updated
03/24/2021
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