Sanchez Dermatology Services

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME102887 Issued in FL

Legal business name

SANCHEZ DERMATOLOGY SERVICES

Practice address

420 N Plant Ave
Plant City, FL 33563-7248

Phone

(813) 839-3376

NPI assigned

May 22, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fitzgeraldo A Sanchez, MD

Title

President

Phone

(813) 830-3376

Specialties & licenses 6

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1245523414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PLATT ST",
            "address_2": "#186",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N PLANT AVE",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637248",
            "telephone_number": "813-839-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCHEZ DERMATOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "FITZGERALDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-830-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME102887",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME102887",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "FL",
            "license": "ME102887",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME102887",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME102887",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "ME102887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim K Afridi, MD
• Michael Anthony Salvato, M.D.
• Sony Sam, M.D.
• Madhavi Sambaraju
• Renee Samuel
• Alexander Miguel Sanchez
• Sandcastle Care VI LLC (Sandcastle Homecare)
• Alberta Sanders
• Timothy Sanders
• Sandhill Bone & Joint Inc

• Dermatology Physician in Plant City, FL
• Providers in Plant City, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.