Individual
KALINA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1370 13TH AVE S, SUITE 215, JACKSONVILLE, FL 32250-3230
(904) 249-1041
(904) 249-9764
Mailing address
PO BOX 41113, JACKSONVILLE, FL 32203-1113
(904) 376-4400
(904) 391-5595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN10187
FL
2084N0400X
Neurology Physician
Primary
ME107636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023967-00
—
FL
01
—
P01756119
RR MEDICARE
FL
Enumeration date
01/10/2007
Last updated
03/29/2017
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