Healthcare Provider Details

I. General information

NPI: 1285156596
Provider Name (Legal Business Name): SARAH WILKIN MS, ATC, LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COLUMBIA ST STE 500
ORLANDO FL
32806-1115
US

IV. Provider business mailing address

5107 MONTICELLO HEIGHTS LN
OVIEDO FL
32765-6390
US

V. Phone/Fax

Practice location:
  • Phone: 407-496-0799
  • Fax:
Mailing address:
  • Phone: 407-923-0809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL1977
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: