Dr. Sandra R Stine, MD
Internal Medicine in Orlando, FL. Individual provider (NPI-1).
NPI number1790768356
StatusActive
Last updated in NPPESJul 31, 2020
Details
- NPI
- 1790768356
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sandra R Stine
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2005
- Certification date
- Jul 31, 2020
- Last updated
- Jul 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME51069 | FL | Yes |
Practice location
5540 E Grant St Ste AOrlando, FL 32822-1668
Phone 407-367-4715 · Fax 321-203-4606
Mailing address
5540 E Grant St Ste AOrlando, FL 32822-1668
Phone 407-367-4715 · Fax 321-203-4606
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