Provider Demographics
NPI:1720591795
Name:SARDINAS, LIGEIA MARTHA (ARNP)
Entity Type:Individual
Prefix:
First Name:LIGEIA
Middle Name:MARTHA
Last Name:SARDINAS
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 1:14131 NW 84TH CT APT 4104
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1543
Mailing Address - Country:US
Mailing Address - Phone:786-348-5538
Mailing Address - Fax:
Practice Address - Street 1:14131 NW 84TH CT APT 4104
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1543
Practice Address - Country:US
Practice Address - Phone:786-348-5538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9329756363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily