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NPI Code Detail

MEDICARE: SARAH MASTRO APRN

MEDICARE: SARAH MASTRO 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
1363LF0000XFamily Nurse PractitionerAPRN11004225FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11891342747OTHERNPI

General Provider Information

NPI Number : 1891342747
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH MASTRO APRN
Provider Business Mailing Address
First Line : 282 APOLLO BEACH BLVD
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2261
Country : US
Telephone Number : 813-645-4068
Fax Number :
Provider Business Practice Location Address
First Line : 282 APOLLO BEACH BLVD
Second Line :
City : APOLLO BEACH
State : FL
Zip : 33572-2261
Country : US
Telephone Number : 813-645-4068
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2019
Last Update Date : 12/19/2022

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