Sago Superior Management Inc

LBN: Sago Superior Management Inc
Sago Superior Management Inc is an health care organization with primary practice located at 3040 36Th Ave S , St Petersburg FL 33712-3731. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as the primary health care specialty. Sago Superior Management Inc can be contacted via phone (727) 320-7879, or through Gordon, Safiya A via phone (727) 320-7879.

Contact Information

Primary practice address
3040 36Th Ave S St Petersburg FL 33712-3731
Phone: (727) 320-7879
Fax: (727) 865-3242
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Safiya A ARNP
Phone: (727) 320-7879

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9176677 Florida

Profile Details

NPI number 1811152366
LBN Legal business name Sago Superior Management Inc
DBA Doing business as
Authorized official Gordon, Safiya A ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2008
Last updated Jul 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811152366 NPPES
Florida MEDICAID 308592900

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