Provider Demographics
NPI:1528370848
Name:GAUGLER, SARAH M (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:M
Last Name:GAUGLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1324 LAKELAND HILLS BLV.D
Mailing Address - Street 2:ATTN MANAGED CARE DEPT.
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1324 LAKELAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4543
Practice Address - Country:US
Practice Address - Phone:863-687-1324
Practice Address - Fax:863-603-6534
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MST-2316207R00000X
FLOS12852208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MST-2316OtherMS TEMPORARY MEDICAL LICENSE