Organization Active NPI

Sanders Comprehensive Clinic, Inc.

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1821083627
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2602032 Issued in FL
Legal business name
SANDERS COMPREHENSIVE CLINIC, INC.
Practice address
7750 Palm River Road
Tampa, FL 33619-4215
Phone
(813) 635-9611
Fax
(813) 635-0211
NPI assigned
Sep 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Mrs. Sandra Elaine Ffrench-Rose, ARNP
Title
Ceo
Phone
(813) 635-9611

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X ME68819 FL
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X ARNP2602032 FL Primary

Addresses

Primary practice location

7750 Palm River Road
Tampa, FL 33619-4215

Mailing address

7750 Palm River Road
Tampa, FL 33619-4215
Phone (813) 635-9611

Other identifiers 1

IdentifierTypeStateIssuer
302385100MedicaidFL

Other names 1

  • Sandel's Primary Health Care Center Former legal business name

National Provider Directory

National Provider Directory

Locations

7750 Palm River Rd
Tampa, FL 33619
Phone (813) 635-9611

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1821083627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 PALM RIVER ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194215",
            "telephone_number": "813-635-9611",
            "fax_number": "813-635-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 PALM RIVER ROAD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194215",
            "telephone_number": "813-635-9611",
            "fax_number": "813-635-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERS COMPREHENSIVE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "FFRENCH-ROSE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-635-9611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68819",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2602032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302385100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandel's Primary Health Care Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.