Individual
MISS SARAH LYNN RECUPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RRT
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-7494
(941) 917-7739
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106624
FL
363AM0700X
Medical Physician Assistant
PA9106624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007819400
—
FL
Enumeration date
08/15/2012
Last updated
10/03/2024
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