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Individual
MRS. STEPHANIE RASBURY SAPP
Active
Individual
MRS. STEPHANIE RASBURY SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104915
FL
363AM0700X
Medical Physician Assistant
PA9104915
FL
363AS0400X
Surgical Physician Assistant
PA9104915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002876700
GROUP MEDICAID
FL
05
—
003103100
—
FL
01
—
K0493
GROUP MEDICARE PTAN
—
Enumeration date
05/29/2009
Last updated
06/24/2014
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