IndividualActive
Sara Proctor, PA
NPI 1790119923 · Medical Physician Assistant · Dover, FL
Provider details
- NPI number
- 1790119923
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA2530 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3228 San Jose Mission Dr
Dover, FL 33527-4746
Phone: (813) 707-7376
Fax: (813) 707-7417
Approximate (ZIP-level) locationGet directions
Mailing address
2510 W Shell Point Rd Lot 151
Ruskin, FL 33570-3110
Registry dates
- Enumerated
- 2013-08-23
- Last updated
- 2013-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.