EMILY CLAIRE SACK


Address: 1201 Orient Rd, Tampa, FL 33619-3325
Phone: 8132470805

EMILY CLAIRE SACK (NPI# 1104284926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104284926
Entity Type Individual
Full Name EMILY CLAIRE SACK
Credential ARNP
Practice Address 1201 Orient Rd
Tampa
FL 33619-3325
Mailing Address 2090 Columbiana Rd Ste 4000
Vestavia
AL 35216-2158
Practice Telephone 8132470805
Enumeration Date 2016-02-08
Last Update Date 2016-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
9318736 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1201 ORIENT RD
City TAMPA
State FL
Zip Code 33619-3325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093049736 Ricia J Mathew Nurse Practitioner 1201 Orient Rd, Tampa, FL 33619-3325 2009-09-29

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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1598231789 Christee Elan Bond Nurse Practitioner 4809 N Armenia Ave Ste 210, Tampa, FL 33603-1425 2018-10-16
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Competitor

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City TAMPA
Zip Code 33619

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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