Provider Demographics
NPI:1245660216
Name:MARKWOOD, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARKWOOD
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 1:105 TURTLE CV
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32413-8439
Mailing Address - Country:US
Mailing Address - Phone:847-902-1556
Mailing Address - Fax:
Practice Address - Street 1:340 W 23RD ST
Practice Address - Street 2:SUIT H
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-7600
Practice Address - Country:US
Practice Address - Phone:850-215-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist