Healthcare Provider Details

I. General information

NPI: 1902149255
Provider Name (Legal Business Name): SARAH L BEDELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 SW 117TH AVE STE 207B
MIAMI FL
33186-2155
US

IV. Provider business mailing address

8900 SW 117TH AVE STE 207B
MIAMI FL
33186-2155
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-6002
  • Fax: 304-274-7970
Mailing address:
  • Phone: 305-274-6002
  • Fax: 304-274-7970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME131994
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: