| Doctor Name: | MRS. SARA K CANADAY |
| NPI Number: | 1922007442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP3208602 |
| Business Practice Address: | 6704 E Mount Vernon St Glen St Mary, FL - 320405050 |
| Business Phone Number: | 9042597420 |
| Business Fax Number: | 9042598366 |
| Mailing Address: | Po Box 606, GLEN ST MARY |
| State: | FL |
| Postal Code: | 320400606 |
| Phone Number: | 9046531818 |
| Fax Number: | 9046531814 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 06/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP3208602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |