Individual
OLGA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 CITRUS TOWER BLVD, CLERMONT, FL 34711-7012
(352) 536-8200
Mailing address
3200 CITRUS TOWER BLVD, CLERMONT, FL 34711-7012
(352) 536-8200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0435265
KS
2084P0800X
Psychiatry Physician
6914
KS
2084P0800X
Psychiatry Physician
Primary
ME 123463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K132Z
MEDICARE PTAN
FL
Enumeration date
04/29/2008
Last updated
06/30/2022
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