Individual
MARY SUE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PSGT/ CRT
Contact information
Practice address
1601 SW ARCHER RD, SLEEP LAB # 111, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 379-4155
Mailing address
7360 188TH PL, MC ALPIN, FL 32062-2757
(386) 288-8586
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT8225
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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