MEDICARE: MS. SARAH GRIFFITH DONLY RN, LMT

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	163WM0705X	Medical-Surgical Registered Nurse	RN 2150732	FL
2	163WM1400X	Nurse Massage Therapist (NMT)	RN 2150732	FL
3	225700000X	Massage Therapist	MA 42976	FL

General Provider Information

NPI Number	:	1700927654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH GRIFFITH DONLY RN, LMT

Provider Business Mailing Address
First Line	:	3415 GARFIELD ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5417
Country	:	US
Telephone Number	:	954-961-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	3415 GARFIELD ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5417
Country	:	US
Telephone Number	:	954-961-4794
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	09/11/2025

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