Blackstone, Sara

Blackstone, Sara is an individual health care provider with primary practice located at 6501 Caroline St , Milton FL 32570-4582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Blackstone, Sara can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
6501 Caroline St Milton FL 32570-4582
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X C-APN.0001351-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9237893 Florida

Profile Details

NPI number 1336547298
LBN Legal business name Blackstone, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2014
Last updated Feb 18th, 2019 - about 7 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 1336547298 NPPES
Florida Other 150FH BCBSFL
Florida MEDICAID 014527200 BCBSFL

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