| Doctor Name: | SANDRA S DACCARETT |
| NPI Number: | 1093089245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP9207369 |
| Business Practice Address: | 3090 Nw 46th Ave Apt 104 Lauderdale Lakes, FL - 333131866 |
| Business Phone Number: | 9547309147 |
| Business Fax Number: | |
| Mailing Address: | 3090 N.w 46 Ave #104, LAUDERDALE LAKES |
| State: | FL |
| Postal Code: | 33313 |
| Phone Number: | 9547309147 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2012 |
| NPI Last Update Date: | 04/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | ARNP9207369 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |