MEDICARE: SARA CARRANCO MD

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	207VG0400X	Gynecology Physician	ME173041	FL

General Provider Information

NPI Number	:	1801473806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA CARRANCO MD

Provider Business Mailing Address
First Line	:	4425 MERRIMAC AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-1850
Country	:	US
Telephone Number	:	904-346-0050
Fax Number	:	904-346-0080

Provider Business Practice Location Address
First Line	:	FABEN OBSTETRICS AND GYNECOLOGY LLC
Second Line	:	4425 MERRIMAC AVENUE
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210
Country	:	US
Telephone Number	:	832-826-7354
Fax Number	:

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

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	12/15/2025

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