| Doctor Name: | FEDDY SANDY |
| NPI Number: | 1417916172 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | ARNP2919552 |
| Business Practice Address: | 217 W Avenue A Belle Glade, FL - 334303019 |
| Business Phone Number: | 5619924888 |
| Business Fax Number: | 5619924888 |
| Mailing Address: | 16360 Temple Blvd, LOXAHATCHEE |
| State: | FL |
| Postal Code: | 334703008 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2919552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |