Provider Demographics
NPI:1114917697
Name:SARROZA, JOANNE M (DO)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:SARROZA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9100
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9100
Mailing Address - Country:US
Mailing Address - Phone:613-002-4105
Mailing Address - Fax:
Practice Address - Street 1:21110 BISCAYNE BLVD STE 312
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1229
Practice Address - Country:US
Practice Address - Phone:305-933-3030
Practice Address - Fax:305-933-1436
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18864207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04515134OtherBCBS #
IL036104804Medicaid
ILH79915Medicare UPIN
IL036104804Medicaid
IL04515134OtherBCBS #
IL0727500001Medicare NSC