Individual provider Active NPI

Diane L. Sanders, D.O.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1891881694
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9489 Issued in FL
Practice address
260 SW 84TH Ave
Suite B
Plantation, FL 33324-2715
Phone
(954) 327-3337
Fax
(954) 327-7177
NPI assigned
Oct 5, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS9489 FL Primary

Addresses

Primary practice location

260 SW 84TH Ave
Suite B
Plantation, FL 33324-2715

Mailing address

260 SW 84TH Ave
Suite B
Plantation, FL 33324-2715
Phone (954) 327-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000493 FL Practitioner - Geriatric Medicine 2961590591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS9489FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Jun 1, 2025 Accepting new patients
Broward Geriatric and Palliative Care Consultants, Inc. PastSince Feb 3, 2011 Accepting new patients
Care Telehealth Medical Services Ny PC Past Accepting new patients

Locations

1655 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33401

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1891881694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SW 84TH AVE",
            "address_2": "SUITE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242715",
            "telephone_number": "954-327-3337",
            "fax_number": "954-327-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SW 84TH AVE",
            "address_2": "SUITE B",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242715",
            "telephone_number": "954-327-3337",
            "fax_number": "954-327-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DIANE",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.