Individual
SARAH SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
(813) 818-3241
Mailing address
601 BROOKER CREEK BLVD, OLDSMAR, FL 34677-2962
(813) 818-3241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
ARNP376662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00114489
RAILROAD MEDICARE
FL
Enumeration date
09/20/2006
Last updated
07/08/2007
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