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Individual

SARA DUBE

Active
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Individual

SARA DUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102993
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105860000
FL
01
12716840
CAQH
01
1883836
CIGNA
01
Q34871
UPIN
01
Y06MT
BCBS
Enumeration date
07/07/2006
Last updated
04/17/2025
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