Healthcare Provider Details

I. General information

NPI: 1487993671
Provider Name (Legal Business Name): SARAH ANNE HILL KENNEDY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2013
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NW 13TH ST STE 100
BOCA RATON FL
33486-2269
US

IV. Provider business mailing address

1001 NW 13TH ST STE 100
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 305-740-6140
  • Fax: 305-740-6181
Mailing address:
  • Phone: 305-740-6140
  • Fax: 305-740-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9106873
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: