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Individual

DR. AGUSTIN C SANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
293 NW PEACOCK BLVD STE 101-104, PORT SAINT LUCIE, FL 34986-2222
(772) 335-9600
(772) 879-4478
Mailing address
293 NW PEACOCK BLVD STE 101-104, PORT SAINT LUCIE, FL 34986-2222
(772) 335-9600
(772) 879-4478

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18918
FL
Enumeration date
06/18/2006
Last updated
01/20/2022
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