Healthcare Provider Details

I. General information

NPI: 1710524715
Provider Name (Legal Business Name): SARAH MARIE DOSANJH APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH MARIE COLLINS

II. Dates (important events)

Enumeration Date: 12/09/2019
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6308
US

IV. Provider business mailing address

23652 SHINING STAR DR
LAND O LAKES FL
34639-6145
US

V. Phone/Fax

Practice location:
  • Phone: 813-879-4730
  • Fax:
Mailing address:
  • Phone: 813-323-2189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN11003480
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: