Thompson, Sara Nicole
Thompson, Sara Nicole is an individual health care provider with primary practice located at 1421 Malabar Rd Ne Ste 200 , Palm Bay FL 32907-2559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Thompson, Sara Nicole can be contacted via phone (321) 308-2660.Contact Information
Primary practice address
1421 Malabar Rd Ne Ste 200
Palm Bay FL 32907-2559
Phone: (321) 308-2660
Fax: (321) 984-9303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9108278 | Florida |
Profile Details
| NPI number | 1508162645 |
|---|---|
| LBN Legal business name | Thompson, Sara Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2011 |
| Last updated | Jul 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508162645 | NPPES |
| Florida | MEDICAID | PENDING | |
| Florida | Other | PA9108278 | |
| Florida | Other | MEDICARE | |
| Florida | Other | KQ667 |
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