Provider Demographics
NPI:1164898391
Name:STARR, SARAH B (RD)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:B
Last Name:STARR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4591 PEBBLE BAY S
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1110
Mailing Address - Country:US
Mailing Address - Phone:772-473-7235
Mailing Address - Fax:772-228-3039
Practice Address - Street 1:1300 36TH ST STE H
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4898
Practice Address - Country:US
Practice Address - Phone:772-228-3039
Practice Address - Fax:772-228-3039
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 7431133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered