Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP2545292 | FL |
NPI | 1053457655 |
---|---|
Provider Name | Mrs. Sonja M. O'flynn |
First Address | Sarasota, FL 34238-5450 |
Second Address | Sarasota, FL 34234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |