Healthcare Provider Details

I. General information

NPI: 1164831921
Provider Name (Legal Business Name): SARAH BRINGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HARRISON PKWY SUITE 200
SUNRISE FL
33323-2896
US

IV. Provider business mailing address

PO BOX 840853
DALLAS TX
75284-7930
US

V. Phone/Fax

Practice location:
  • Phone: 954-838-2074
  • Fax:
Mailing address:
  • Phone: 972-233-1999
  • Fax: 972-233-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9260887
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1136834
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: