Individual
SARA HOFSTRA
Active
Individual
SARA HOFSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005851
GA
363A00000X
Physician Assistant
2092
SC
363A00000X
Physician Assistant
PA9109512
FL
363AM0700X
Medical Physician Assistant
Primary
5851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017776200
—
FL
01
—
V26N1
BCBS
FL
Enumeration date
04/22/2011
Last updated
01/31/2024
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