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Individual

DR. KENNETH C SANDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
709 S HARBOR CITY BLVD, SUITE 100, MELBOURNE, FL 32901-1938
(321) 725-2225
(321) 308-0635
Mailing address
240 N WICKHAM RD STE 102, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1787

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
055884
GA
207X00000X
Orthopaedic Surgery Physician
Primary
ME110558
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113358500
FL
01
14F5Z
FLORIDA BLUE
FL
05
365707881A
GA
Enumeration date
03/01/2006
Last updated
10/01/2025
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