Individual
MATTHEW SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5149 N 9TH AVE STE 246, PENSACOLA, FL 32504-8755
(850) 416-1080
(850) 416-1089
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
ME137773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104277800
—
FL
Enumeration date
05/04/2010
Last updated
10/04/2024
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