Individual
SARA CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2828 CROASDAILE DR, DURHAM, NC 27705-2505
(877) 751-1157
Mailing address
2829 INDIAN CREEK DR, APT. 602, MIAMI BEACH, FL 33140-4753
(305) 695-9518
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME95585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95585
MEDICAL LICENSE
FL
Enumeration date
06/03/2006
Last updated
07/08/2007
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