Healthcare Provider Details

I. General information

NPI: 1134082878
Provider Name (Legal Business Name): SARAH JEAN FALK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4421 NW 39TH AVE STE 3
GAINESVILLE FL
32606-7221
US

IV. Provider business mailing address

19923 NW 245TH TER
HIGH SPRINGS FL
32643-1367
US

V. Phone/Fax

Practice location:
  • Phone: 352-380-0209
  • Fax:
Mailing address:
  • Phone: 352-443-1034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name: SARAH JEAN FALK
Title or Position: OWNER
Credential:
Phone: 585-703-1132