Provider Demographics
NPI:1700267358
Name:HARRISON, SARAH G (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:G
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:GENNETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17000 PORTER RD STE 206
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-8800
Mailing Address - Country:US
Mailing Address - Phone:407-635-3303
Mailing Address - Fax:407-636-7826
Practice Address - Street 1:17000 PORTER RD STE 206
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-8800
Practice Address - Country:US
Practice Address - Phone:407-635-3303
Practice Address - Fax:407-636-7826
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN21699390200000X
FLME139324207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program