Individual
SARA KAY PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3228 SAN JOSE MISSION DR, DOVER, FL 33527-4746
(813) 707-7376
(813) 707-7417
Mailing address
2510 W SHELL POINT RD LOT 151, RUSKIN, FL 33570-3110
(813) 944-8144
(813) 707-7417
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2530
FL
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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