Provider Demographics
NPI:1255639357
Name:ASHMEADE, SASHA GAY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:SASHA
Middle Name:GAY
Last Name:ASHMEADE
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 1:10727 NARCOOSSEE RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6943
Mailing Address - Country:US
Mailing Address - Phone:407-768-2330
Mailing Address - Fax:
Practice Address - Street 1:10727 NARCOOSSEE RD STE B6
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6943
Practice Address - Country:US
Practice Address - Phone:407-900-2580
Practice Address - Fax:407-900-2580
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9313009363LF0000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9313009OtherMEDICAL LICENSE
FL022237600Medicaid
207N00000XOtherTAXONOMY CODE