MEDICARE: SONIA A SPRATLIN

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	171W00000X	Contractor
2	246RP1900X	Phlebotomy Technician	L4Q7X4N3	FL
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1881104495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA A SPRATLIN

Provider Business Mailing Address
First Line	:	3049 CLEVELAND AVE STE 263
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7047
Country	:	US
Telephone Number	:	239-747-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	12557 NEW BRITTANY BLVD STE 3V97
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3651
Country	:	US
Telephone Number	:	233-747-8688
Fax Number	:

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

Provider Enumeration Date	:	10/09/2017
Last Update Date	:	11/22/2024

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Directions to “ SONIA A SPRATLIN ” Practice Location

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