Individual
SARINA R. DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 5TH FLOOR, TAMPA, FL 33606-3603
(813) 259-8700
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
ARNP3332252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002382100
—
FL
01
—
Y05AY
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/15/2010
Last updated
11/17/2010
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