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NPI Code Detail

MEDICARE: SARA GENA ISRAEL APRN

MEDICARE: SARA GENA ISRAEL APRN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAC003803MD
2363LP0808XPsychiatric/Mental Health Nurse PractitionerF404060NY
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11002526FL

General Provider Information

NPI Number : 1154988814
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA GENA ISRAEL APRN
Provider Business Mailing Address
First Line : 3440 HOLLYWOOD BLVD STE 415
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6933
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3440 HOLLYWOOD BLVD STE 415
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6933
Country : US
Telephone Number : 954-296-7116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 05/16/2024

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