Individual
DR. MICHAEL V SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4000
(813) 874-5908
Mailing address
PO BOX 9790, DAYTONA BEACH, FL 32120-9790
(386) 274-7800
(386) 274-7801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME114903
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN14966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14PV9
BLUE CROSS FL
FL
Enumeration date
06/10/2010
Last updated
07/08/2013
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