Racine, Sandra Marie

Racine, Sandra Marie is an individual health care provider with primary practice located at 6499 38Th Ave N Ste G1 , St Petersburg FL 33710-1658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Racine, Sandra Marie can be contacted via phone (727) 381-3761.

Contact Information

Primary practice address
6499 38Th Ave N Ste G1 St Petersburg FL 33710-1658
Phone: (727) 381-3761
Fax: (727) 347-9348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 2865962 Florida

Profile Details

NPI number 1841498623
LBN Legal business name Racine, Sandra Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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 1841498623 NPPES
Florida Other ARNP2865962 ARNP LICENSE NUMBER

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