Provider Demographics
NPI:1295793586
Name:RUSHING, SARA A (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:A
Last Name:RUSHING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1005 MAR WALT DRIVE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6707
Mailing Address - Country:US
Mailing Address - Phone:850-863-8150
Mailing Address - Fax:850-863-4152
Practice Address - Street 1:1000 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6708
Practice Address - Country:US
Practice Address - Phone:850-862-1111
Practice Address - Fax:850-862-0194
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME73689208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL41531OtherBCBS PROVIDER NUMBER
FL024076800Medicaid
FL41531DMedicare PIN
FLG65362Medicare UPIN