Provider Demographics
NPI:1730269556
Name:SOOKRA WINSLOW, SASKA FIONA (MD)
Entity type:Individual
Prefix:DR
First Name:SASKA
Middle Name:FIONA
Last Name:SOOKRA WINSLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1957 WORTH CT
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-2110
Mailing Address - Country:US
Mailing Address - Phone:941-755-0433
Mailing Address - Fax:
Practice Address - Street 1:1957 WORTH CT
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-2110
Practice Address - Country:US
Practice Address - Phone:941-755-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007371000Medicaid
FLP1196OtherHF MA