Provider Demographics
NPI:1821638909
Name:BEAL, SARA CHRISTINA (APRN)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:CHRISTINA
Last Name:BEAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:CHRISTINA
Other - Last Name:FLORSCHUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 CRYSTAL GROVE BLVD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-6465
Mailing Address - Country:US
Mailing Address - Phone:813-454-4044
Mailing Address - Fax:813-265-3937
Practice Address - Street 1:217 CRYSTAL GROVE BLVD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33548-6465
Practice Address - Country:US
Practice Address - Phone:813-454-4044
Practice Address - Fax:813-265-3937
Is Sole Proprietor?:No
Enumeration Date:2020-01-07
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL110043142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry