Bethart, Sally

Bethart, Sally is an individual health care provider with primary practice located at 224 Se 24Th St , Gainesville FL 32641-7516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bethart, Sally can be contacted via phone (352) 334-7917.

Contact Information

Primary practice address
224 Se 24Th St Gainesville FL 32641-7516
Phone: (352) 334-7917
Fax: (352) 955-2126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3093752 Florida

Profile Details

NPI number 1982807194
LBN Legal business name Bethart, Sally
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982807194 NPPES
Florida Other ARNP3093752 FLORIDA MEDICAL LICENSE

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