MEDICARE: MRS. SARA K COMBS ARNP

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	363LP0200X	Pediatric Nurse Practitioner	ARNP3208602	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1922007442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA K COMBS ARNP

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD STE 800
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3923
Country	:	US
Telephone Number	:	904-259-5766
Fax Number	:	904-259-8416

Provider Business Practice Location Address
First Line	:	124 S 6TH ST
Second Line	:
City	:	MACCLENNY
State	:	FL
Zip	:	32063-2362
Country	:	US
Telephone Number	:	904-259-5766
Fax Number	:	904-259-8416

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/27/2026

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