Healthcare Provider Details

I. General information

NPI: 1992636534
Provider Name (Legal Business Name): SARA MULLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 S HWY 27
CLERMONT FL
34711-6816
US

IV. Provider business mailing address

15523 TROTTING HORSE LN
TAVARES FL
32778-6115
US

V. Phone/Fax

Practice location:
  • Phone: 352-394-0212
  • Fax:
Mailing address:
  • Phone: 484-883-6669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number20574
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: