Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | PA9113740 | FL |
NPI | 1114527132 |
---|---|
Provider Name | Sarah Sowinski |
First Address | Jacksonville, FL 32216-3623 |
Second Address | Jacksonville, FL 32216-1463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2020 |
Last Update Date | 16/12/2020 |