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NPI Code Detail

MEDICARE: SARAH ELOMINA PA-C

MEDICARE: SARAH ELOMINA PA-C
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
1363AM0700XMedical Physician Assistant9116294FL
2363A00000XPhysician Assistant9116294FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831811090
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELOMINA PA-C
Provider Business Mailing Address
First Line : 7413 ALAFIA RIDGE LOOP
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-4773
Country : US
Telephone Number : 321-684-8132
Fax Number :
Provider Business Practice Location Address
First Line : 5510 N HESPERIDES ST
Second Line :
City : TAMPA
State : FL
Zip : 33614-5414
Country : US
Telephone Number : 813-467-6111
Fax Number : 813-467-6013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 12/05/2025

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