Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 125-049408 | IL |
N | 207Q00000X | Family Doctor | ME110831 | FL |
Y | 207QA0401X | Family Doctor - Addiction Medicine | ME110831 | FL |
NPI | 1740483932 |
---|---|
Provider Name | Dr. Sarah Michel Dooley |
First Address | Newberry, FL 32669-2783 |
Second Address | Gainesville, FL 32608-4006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 21/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003986500 | (05) | FL |