Individual
SARAH JOY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2285 N CENTRAL AVE UNIT 3, KISSIMMEE, FL 34741-2342
(689) 215-9360
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
2171582
ID
363AS0400X
Surgical Physician Assistant
Primary
PA9116035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115759500
—
FL
01
—
TB760
HFPS
FL
01
—
TB761
HFMG
FL
Enumeration date
05/31/2021
Last updated
04/10/2026
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