Provider Demographics
NPI:1952946238
Name:KAKAES, SARAFEM (ARNP)
Entity Type:Individual
Prefix:
First Name:SARAFEM
Middle Name:
Last Name:KAKAES
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17234 WHISPER BREEZE WAY
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7216
Mailing Address - Country:US
Mailing Address - Phone:727-271-8546
Mailing Address - Fax:
Practice Address - Street 1:17234 WHISPER BREEZE WAY
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7216
Practice Address - Country:US
Practice Address - Phone:727-271-8546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11004231363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily