Individual
DR. SANDEE JEWEL BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3661 SOUTH MIAMI AVE, SUITE 1008, MIAMI, FL 33133
(305) 974-5533
(305) 974-5553
Mailing address
PO BOX 223190, HOLLYWOOD, FL 33022-3190
(305) 974-5533
(305) 974-5553
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
104374
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD60152790
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280818
L&I
WA
05
—
1629263694
—
WA
01
—
MD60152790
MEDICAL LICENSE
WA
01
—
ME104374
MEDICAL LICENSE
FL
Enumeration date
09/12/2007
Last updated
06/06/2024
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