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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720440068 | NPPES |
| Florida | MEDICAID | 118273000 | |
| Florida | Other | QZ098 |
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