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NPI Code Detail

MEDICARE: MS. AMY L SADLER

MEDICARE:  MS. AMY L SADLER
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1861672883
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY L SADLER
Provider Business Mailing Address
First Line : 4021 HOLDER PARK DR
Second Line :
City : MIMS
State : FL
Zip : 32754-2510
Country : US
Telephone Number : 321-264-4214
Fax Number : 321-264-4214
Provider Business Practice Location Address
First Line : 4021 HOLDER PARK DR
Second Line :
City : MIMS
State : FL
Zip : 32754-2510
Country : US
Telephone Number : 321-264-4214
Fax Number : 321-264-4214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 11/07/2007

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Directions to “ MS. AMY L SADLER ” Practice Location

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