Modeste, Sara K

Modeste, Sara K is an individual health care provider with primary practice located at 880 Sw 145Th Ave Ste 202 , Pembroke Pines FL 33027-6171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Modeste, Sara K can be contacted via phone (866) 849-0692.

Contact Information

Primary practice address
880 Sw 145Th Ave Ste 202 Pembroke Pines FL 33027-6171
Phone: (866) 849-0692
Fax: (888) 973-8821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11027636 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP139624 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0033398 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP029333 Pennsylvania

Profile Details

NPI number 1881785426
LBN Legal business name Modeste, Sara K
Credentials APRN,FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881785426 NPPES
California Other NP16063 LICENCE NUMBER

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