Individual
JASON B SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3702 WASHINGTON ST, SUITE 404, HOLLYWOOD, FL 33021-8282
(954) 404-7440
(954) 404-7402
Mailing address
3702 WASHINGTON ST, SUITE 404, HOLLYWOOD, FL 33021-8282
(954) 404-7440
(954) 404-7402
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME 102131
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME 102131
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME 102131
FL
Other
Enumeration date
05/14/2007
Last updated
04/19/2012
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