Provider Demographics
NPI:1396871182
Name:HILL, SARAH LETITIA (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:LETITIA
Last Name:HILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 S NOVA RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-0412
Mailing Address - Country:US
Mailing Address - Phone:386-226-0081
Mailing Address - Fax:386-226-2148
Practice Address - Street 1:298 S NOVA RD
Practice Address - Street 2:SUITE E
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-0412
Practice Address - Country:US
Practice Address - Phone:386-226-0081
Practice Address - Fax:386-226-2148
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0008909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL69015OtherBLUE CROSS BLUE SHEILD #
FLU5716ZMedicare ID - Type Unspecified
FLV06302Medicare UPIN