MEDICARE: SARA BETH DUNNE RPA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	23015613	NY
2	363AM0700X	Medical Physician Assistant	MA066571	PA
3	363AM0700X	Medical Physician Assistant	PA9107146	FL
4	363AM0700X	Medical Physician Assistant	0110010191	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053671859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA BETH DUNNE RPA-C

Provider Business Mailing Address
First Line	:	2339 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-4102
Country	:	US
Telephone Number	:	727-669-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	2339 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765
Country	:	US
Telephone Number	:	727-669-3120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2012
Last Update Date	:	01/29/2026

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