Individual
DANA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
125 BAPTIST WAY STE 4A, PENSACOLA, FL 32503-2274
(448) 227-6360
(850) 469-7849
Mailing address
PO BOX 95590, SOUTH JORDAN, UT 84095-0590
(801) 784-0954
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9117994
FL
Other
Enumeration date
09/11/2023
Last updated
05/05/2026
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