Healthcare Provider Details
I. General information
NPI: 1871790220
Provider Name (Legal Business Name): SARAH BETH FLORIO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2007
Last Update Date: 02/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 NE SAINT LUKES BLVD SUITE 200
LEES SUMMIT MO
64086-6001
US
IV. Provider business mailing address
901 E. 104TH ST. MAILSTOP 400N
KANSAS CITY MO
64131
US
V. Phone/Fax
- Phone: 816-347-5100
- Fax: 816-347-5136
- Phone: 816-502-7104
- Fax: 816-932-9670
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2010007573 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: