Healthcare Provider Details

I. General information

NPI: 1881399632
Provider Name (Legal Business Name): SARA ELIZABETH GELLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13005 SOUTHERN BLVD STE 224
LOXAHATCHEE FL
33470-9272
US

IV. Provider business mailing address

3618 LANTANA RD STE 100
LAKE WORTH FL
33462-2247
US

V. Phone/Fax

Practice location:
  • Phone: 561-318-6158
  • Fax: 561-328-6918
Mailing address:
  • Phone: 561-318-6158
  • Fax: 561-328-6918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11025580
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: