Individual
DR. JULIO ROBERTO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1817 W WATROUS AVE, TAMPA, FL 33606-3042
(813) 251-3971
Mailing address
1817 W WATROUS AVE, TAMPA, FL 33606-3042
(813) 251-3971
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME41452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065677100
—
FL
01
—
P00229398
RR MEDICARE
FL
01
—
P00244244
RR MEDICARE
FL
Enumeration date
03/23/2006
Last updated
02/16/2010
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