Healthcare Provider Details

I. General information

NPI: 1942776760
Provider Name (Legal Business Name): DR SARA A HOSN PSYD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2018
Last Update Date: 10/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 W CAMINO REAL STE 402
BOCA RATON FL
33433
US

IV. Provider business mailing address

7700 W CAMINO REAL STE 402
BOCA RATON FL
33433
US

V. Phone/Fax

Practice location:
  • Phone: 305-399-4009
  • Fax:
Mailing address:
  • Phone: 305-399-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SARA A HOSN
Title or Position: DIRECTOR
Credential: PSYD
Phone: 305-399-4009