Provider Demographics
NPI:1861780488
Name:POWER, SARAH QUINN (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:QUINN
Last Name:POWER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:QUINN
Other - Last Name:TAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:14100 58TH ST N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-9900
Mailing Address - Country:US
Mailing Address - Phone:727-824-8181
Mailing Address - Fax:727-587-7739
Practice Address - Street 1:12420 130TH AVE N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-1919
Practice Address - Country:US
Practice Address - Phone:727-824-8181
Practice Address - Fax:727-587-7739
Is Sole Proprietor?:No
Enumeration Date:2011-07-17
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA07385363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant