Dr Chad Robert Sanborn, MD | |
927 45th St, Mangonia Park, FL 33407-2450 | |
(561) 844-8354 | |
Not Available |
Full Name | Dr Chad Robert Sanborn |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 927 45th St, Mangonia Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407047657 | NPI | - | NPPES |
001311900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | ME 96300 (Florida) | Primary |
Entity Name | Kidz Medical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366408379 PECOS PAC ID: 3678536240 Enrollment ID: O20041105000218 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Robert Sanborn, MD 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Ph: (305) 661-1515 | Dr Chad Robert Sanborn, MD 927 45th St, Mangonia Park, FL 33407-2450 Ph: (561) 844-8354 |
Dr. Mary Ann Vaccarello, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 927 45th St Ste 206, Mangonia Park, FL 33407 Phone: 561-844-8354 | |
Dr. Maurice Cruz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 927 45th St Ste 202-6, Mangonia Park, FL 33407 Phone: 561-558-1212 Fax: 561-558-1292 | |
Mr. Vinay R Saxena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 927 45th St Ste 204, Mangonia Park, FL 33407 Phone: 561-558-1212 Fax: 561-558-1292 | |
Mr. Narayana Gowda, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 927 45th St Ste 201, Mangonia Park, FL 33407 Phone: 561-558-1212 Fax: 561-558-1292 |