Healthcare Provider Details

I. General information

NPI: 1801236518
Provider Name (Legal Business Name): SARAH CATHERINE LYNCH OBRADOVICH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH CATHERINE LYNCH ARNP

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 04/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 SMITH ST
ORANGE PARK FL
32073-5554
US

IV. Provider business mailing address

PO BOX 44004
JACKSONVILLE FL
32231-4004
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-2140
  • Fax: 904-376-4107
Mailing address:
  • Phone: 904-202-1032
  • Fax: 904-376-4107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9306381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: