Healthcare Provider Details

I. General information

NPI: 1285270975
Provider Name (Legal Business Name): SARA MCPHERSON MCCLAIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SE 17TH ST STE 500
OCALA FL
34471-9139
US

IV. Provider business mailing address

2300 SE 17TH ST STE 500
OCALA FL
34471-9139
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-0444
  • Fax: 352-867-5522
Mailing address:
  • Phone: 352-867-0444
  • Fax: 352-867-5522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11005122
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberAPRN11005122
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: