Amy L Sadler

Individual provider Active NPI Personal Care Attendant · Mims, FL

NPI 1861672883 · NPPES record last updated Nov 7, 2007

Key facts

NPI
1861672883
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
4021 Holder Park Dr
Mims, FL 32754-2510
Phone
(321) 264-4214
Fax
(321) 264-4214
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

4021 Holder Park Dr
Mims, FL 32754-2510

Mailing address

4021 Holder Park Dr
Mims, FL 32754-2510
Phone (321) 264-4214

Other providers in Mims, FL

All providers in Mims, FL · Personal Care Attendant in Florida

Sources for this page

Verify at the official NPI Registry.