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Sara Rothe, PA

Physician Assistant in Fort Walton Beach, FL. Individual provider (NPI-1).

NPI number1144797366
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1144797366
Entity type
Individual (NPI-1)
Name
Sara Rothe
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 25, 2018
Certification date
May 27, 2021
Last updated
May 27, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA9111769FLYes

Practice location

514 Mary Esther Cut Off Nw
Fort Walton Beach, FL 32548-4047

Phone 850-226-8550 · Fax 850-226-6712

Mailing address

129 E Redstone Ave
Ste A
Crestview, FL 32539-5350

Phone 850-682-7212 · Fax 850-682-0220

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