Provider Demographics
NPI:1447483078
Name:DOLEZAL, SARAH B (NP-C)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:B
Last Name:DOLEZAL
Suffix:
Gender:F
Credentials:NP-C
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Other - First Name:
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Mailing Address - Street 1:1411 NORTH FLAGLER DR
Mailing Address - Street 2:SUITE 9300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-833-6116
Mailing Address - Fax:561-833-6351
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:SUITE 9300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-833-6116
Practice Address - Fax:561-833-6351
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9199477363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health