Provider Demographics
NPI:1326457284
Name:FLORIDA, SARA (AC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:FLORIDA
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:FLORIDA
Other - Last Name:BLANK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AC
Mailing Address - Street 1:4126 SOUTHWEST FWY STE 1130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7317
Mailing Address - Country:US
Mailing Address - Phone:713-572-3888
Mailing Address - Fax:713-572-3880
Practice Address - Street 1:5373 W ALABAMA ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5923
Practice Address - Country:US
Practice Address - Phone:832-487-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01536171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist