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Individual

ASTRID MARIA SANDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261
Mailing address
6767 N WICKHAM RD, SUITE 306, MELBOURNE, FL 32940-2031
(321) 751-1925
(321) 751-9261

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME101874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
75071
BCBS
FL
Enumeration date
06/08/2009
Last updated
12/28/2011
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