Andrew T Sander, PA-C
Physician Assistant, Surgical in Melbourne, FL. Individual provider (NPI-1).
NPI number1861663239
StatusActive
Last updated in NPPESMar 16, 2011
Details
- NPI
- 1861663239
- Entity type
- Individual (NPI-1)
- Name
- Andrew T Sander
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2008
- Last updated
- Mar 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA 9104502 | FL | Yes |
Practice location
1341 Medical Park DrSuite 201
Melbourne, FL 32901-3235
Phone 321-953-1225 · Fax 321-768-0033
Mailing address
1341 Medical Park DrSuite 201
Melbourne, FL 32901-3235
Phone 321-953-1225 · Fax 321-768-0033
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