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Individual

EMILY CLAIRE SACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1201 ORIENT RD, TAMPA, FL 33619-3325
(813) 247-0805
Mailing address
2090 COLUMBIANA RD STE 4000, VESTAVIA, AL 35216-2158

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9318736
FL

Other

Enumeration date
02/08/2016
Last updated
02/08/2016
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