Individual
MS. SARAH WYCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1540 S TAMIAMI TRL STE 401, SARASOTA, FL 34239-2921
(941) 917-0060
(941) 957-4248
Mailing address
1540 S TAMIAMI TRL STE 401, SARASOTA, FL 34239-2921
(941) 917-0060
(941) 957-4248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9116072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116072
STATE MEDICAL LICENSE
FL
Enumeration date
08/26/2022
Last updated
08/26/2022
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