Provider Demographics
NPI:1861626822
Name:DAVE, SONAL (PA-C)
Entity Type:Individual
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First Name:SONAL
Middle Name:
Last Name:DAVE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2200 E SEMORAN BLVD STE 2226
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-5733
Mailing Address - Country:US
Mailing Address - Phone:407-362-8032
Mailing Address - Fax:407-880-7792
Practice Address - Street 1:2200 E SEMORAN BLVD STE 2226
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5733
Practice Address - Country:US
Practice Address - Phone:407-788-6399
Practice Address - Fax:407-788-0404
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2021-08-13
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104792363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant