Healthcare Provider Details

I. General information

NPI: 1033038732
Provider Name (Legal Business Name): SARA LAATU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA COLBACCHINI

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD
DEERFIELD BEACH FL
33064-3502
US

IV. Provider business mailing address

9315 NW 1ST ST
CORAL SPRINGS FL
33071-7368
US

V. Phone/Fax

Practice location:
  • Phone: 954-941-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11049193
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: