Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN22712 | FL |
Y | 213EG0000X | General Practice | DN22712 | FL |
NPI | 1003325820 |
---|---|
Provider Name | Sarah Shuayb |
First Address | Spring Hill, FL 34609-5692 |
Second Address | Spring Hill, FL 34609-5692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2017 |
Last Update Date | 17/03/2018 |