Healthcare Provider Details

I. General information

NPI: 1821895400
Provider Name (Legal Business Name): SARAH ASHLEY RUNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 JUPITER PARK DR STE 16
JUPITER FL
33458-8902
US

IV. Provider business mailing address

6 FOREST CREEK CT
CHARLESTON SC
29414-7328
US

V. Phone/Fax

Practice location:
  • Phone: 561-743-1105
  • Fax:
Mailing address:
  • Phone: 843-872-4804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835N0905X
TaxonomyNuclear Pharmacist
License Number575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: