# SAGO SUPERIOR MANAGEMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811152366
- **Authorized official:** MS. SAFIYA A GORDON ARNP (PRESIDENT)
- **Authorized official phone:** (727) 320-7879

## Contact information

- **Practice address:** 3040 36TH AVE S, ST PETERSBURG, FL 33712-3731
- **Practice address phone:** (727) 320-7879
- **Practice address fax:** (727) 865-3242
- **Mailing address:** PO BOX 15485, ST PETERSBURG, FL 33733
- **Mailing address phone:** (727) 320-7879
- **Mailing address fax:** (727) 865-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 9176677 | FL | Yes |

## Other

- **Enumeration date:** 07/24/2008
- **Last updated:** 07/30/2008