Doctor Name: | SARA C TWIST |
NPI Number: | 1093989774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA3413 |
Business Practice Address: | 11786 Se Federal Hwy Hobe Sound, FL - 334555303 |
Business Phone Number: | 7725464215 |
Business Fax Number: | 7725468741 |
Mailing Address: | 11786 Se Federal Hwy, HOBE SOUND |
State: | FL |
Postal Code: | 334555303 |
Phone Number: | 7725464215 |
Fax Number: | 7725468741 |
NPI Enumeration Date: | 04/15/2008 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA3413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |