Organization
SANCHEZ DE FUENTES AND REAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A REAL M.D. (PRESIDENT)
(407) 847-6166
Entity
Organization
Contact information
Practice address
1170 CYPRESS GLEN CIRCLE, HUNTER'S CREEK PROFESSIONAL PARK, KISSIMMEE, FL 34741-4998
(407) 847-6166
(407) 847-5112
Mailing address
1170 CYPRESS GLEN CIR, HUNTER'S CREEK PROFESSIONAL PARK, KISSIMMEE, FL 34741-7560
(407) 847-6166
(407) 847-5112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0063371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174528236
PERSONAL NPI NUMBER
FL
05
—
376506700
—
FL
01
—
DB00330
RAILROAD MEDICARE
FL
01
—
K351
MEDICARE GROUP
FL
01
—
ME0063371
STATE MEDICAL LICENSE
FL
Enumeration date
11/01/2006
Last updated
03/07/2023
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