Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles David Sanford, PA

Individual provider Surgical Physician Assistant · NPI 1295773711

Mr. Charles David Sanford, PA is a Physician Assistant in Lake Worth, Florida. Qualified in 1997, 29 years ago. Practices with Specialtycare Surgical Assist, LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4801 S Congress Ave Ste 301
Lake Worth, FL 33461-4746
Phone: (561) 967-6500
Fax: (561) 433-4175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA 3377 (FL)

Record details

NPI number1295773711
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESNovember 5, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Specialtycare Surgical Assist, Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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