Individual
BRYANT SANCHEZ-DOMENECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
237 FERNWOOD BLVD, FERN PARK, FL 32730-2116
(407) 831-2411
(407) 831-0195
Mailing address
1214 FOXTREE TRL, APOPKA, FL 32712-3014
(407) 814-7485
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2728722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768918700
—
FL
Enumeration date
03/23/2007
Last updated
09/12/2016
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