MEDICARE: SARAH L MACHADO PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA9101964	FL
2	363A00000X	Physician Assistant	PA9101964	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467461657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH L MACHADO PA

Provider Business Mailing Address
First Line	:	4410 RIVIERA DR
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-1334
Country	:	US
Telephone Number	:	786-493-1660
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 SW 117TH AVE STE 301
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	786-493-1660
Fax Number	:	305-661-9564

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	02/16/2022

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Directions to “ SARAH L MACHADO PA” Practice Location

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