Provider Demographics
NPI:1356549000
Name:MCCARTHY, SARAH SEYMOUR (RN,LMT)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:SEYMOUR
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:RN,LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 NW 39TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3534
Mailing Address - Country:US
Mailing Address - Phone:352-379-0937
Mailing Address - Fax:
Practice Address - Street 1:1730 NW 39TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3534
Practice Address - Country:US
Practice Address - Phone:352-379-0937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA26606174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist