Sarasua, James Nifty
Sarasua, James Nifty is an individual health care provider with primary practice located at 3950 Sunset Lake Dr , Lakeland FL 33810-2839. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sarasua, James Nifty can be contacted via phone (909) 801-4192.Contact Information
Primary practice address
3950 Sunset Lake Dr
Lakeland FL 33810-2839
Phone: (909) 801-4192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME118564 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1215105689 |
|---|---|
| LBN Legal business name | Sarasua, James Nifty |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2008 |
| Last updated | Mar 19th, 2020 - about 6 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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