Individual
NOLBERTO SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2928 DANIELS ST, MARIANNA, FL 32446
(850) 526-3555
(850) 526-3570
Mailing address
2928 DANIELS STREET, MARIANNA, FL 32446
(850) 526-3555
(850) 526-3570
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
018044
PR
208D00000X
General Practice Physician
ACN371
FL
208D00000X
General Practice Physician
Primary
ME136720
FL
246ZS0410X
Surgical Technologist
07-164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004637000
—
FL
01
—
N0574
MEDICARE PIN
FL
Enumeration date
09/12/2007
Last updated
10/20/2022
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