Sanara Clinical Services PLLC
NPI 1063205425 · Family Nurse Practitioner · Fruitland Park, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanara Clinical Services PLLC is a Family Nurse Practitioner organization in Fruitland Park, FL (NPI 1063205425).
Provider details
- NPI number
- 1063205425
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jessica Moscoso, Practice Owner(352) 399-8124
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Sanara Clinical Services PLLC's NPI number?
- Sanara Clinical Services PLLC's National Provider Identifier (NPI) is 1063205425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sanara Clinical Services PLLC?
- Sanara Clinical Services PLLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sanara Clinical Services PLLC located?
- Sanara Clinical Services PLLC's practice location on file with NPPES is 104 W Miller St Unit 435, Fruitland Park, FL 34731-7018.
- What is Sanara Clinical Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sanara Clinical Services PLLC is (352) 399-8124.
- Does Sanara Clinical Services PLLC accept Medicare?
- Sanara Clinical Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sanara Clinical Services PLLC?
- The authorized official listed on Sanara Clinical Services PLLC's NPPES record is Jessica Moscoso, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sanara Clinical Services PLLC's NPI active?
- Yes — Sanara Clinical Services PLLC's NPI (1063205425) is active in the NPPES registry as of the last update on 2025-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.