Khodor, Sara

Khodor, Sara is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2E , Melbourne FL 32901-2607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as her primary health care specialty. Khodor, Sara can be contacted via phone (321) 574-9188.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2E Melbourne FL 32901-2607
Phone: (321) 574-9188
Fax: (321) 952-6946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME136509 Florida

Profile Details

NPI number 1720440068
LBN Legal business name Khodor, Sara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Sep 12th, 2023 - about 3 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 1720440068 NPPES
Florida MEDICAID 118273000
Florida Other QZ098

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