Healthcare Provider Details

I. General information

NPI: 1326545815
Provider Name (Legal Business Name): SARAH CHRABASZCZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 SW 16TH ST STE 5270
GAINESVILLE FL
32608
US

IV. Provider business mailing address

1329 SW 16TH ST STE 5270
GAINESVILLE FL
32608-1128
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-5911
  • Fax:
Mailing address:
  • Phone: 352-265-5911
  • Fax: 352-265-5606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberME148849
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: