Provider Demographics
NPI:1942308556
Name:OZTURK, SADUMAN
Entity Type:Individual
Prefix:
First Name:SADUMAN
Middle Name:
Last Name:OZTURK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2642 12TH SQ SW
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32968-5066
Mailing Address - Country:US
Mailing Address - Phone:772-563-2953
Mailing Address - Fax:
Practice Address - Street 1:2440 S FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 400A
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-781-2207
Practice Address - Fax:772-781-2602
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA3340363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU5072ZMedicare ID - Type Unspecified