Individual
JOHN DAVID SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7243 DELLA DR STE I, ORLANDO, FL 32819-5126
(321) 843-5851
(321) 842-0089
Mailing address
7243 DELLA DR STE I, ORLANDO, FL 32819-5126
(321) 843-5851
(321) 842-0089
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS16376
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120593700
—
FL
Enumeration date
04/14/2018
Last updated
02/14/2024
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