Healthcare Provider Details

I. General information

NPI: 1164348785
Provider Name (Legal Business Name): MRS. SARAH FOLSOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N US HIGHWAY 1
TEQUESTA FL
33469-2372
US

IV. Provider business mailing address

500 N US HIGHWAY 1
TEQUESTA FL
33469-2372
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-8530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberRPT67937
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: