Individual
ROY W SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 558-6138
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME52022
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
ME52022
FL
207XX0801X
Orthopaedic Trauma Physician
ME52022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010032241
MEDICARE RAILROAD
FL
01
—
0307720
CIGNA
FL
05
—
047077500
—
FL
01
—
04844
BC/BS
FL
01
—
203668
AVMED
FL
01
—
4240458
AETNA
FL
Enumeration date
07/07/2005
Last updated
03/26/2025
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