Individual
SARAH JANE CONNATSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14576 BLACKJACK RD, DOVER, FL 33527
(813) 719-2919
Mailing address
14576 BLACKJACK RD, DOVER, FL 33527
(813) 719-2919
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141728200
—
FL
Enumeration date
12/13/2013
Last updated
12/13/2013
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