Provider Demographics
NPI:1053457655
Name:O'FLYNN, SONJA M (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SONJA
Middle Name:M
Last Name:O'FLYNN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 PLAYERS PL
Mailing Address - Street 2:UNIT 2617
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5450
Mailing Address - Country:US
Mailing Address - Phone:941-926-9174
Mailing Address - Fax:
Practice Address - Street 1:2223 N WASHINGTON BLVD
Practice Address - Street 2:GENESIS HEALTH SERVICES, INC
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234
Practice Address - Country:US
Practice Address - Phone:941-957-1970
Practice Address - Fax:941-957-1960
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2545292363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health