Provider Demographics
NPI:1154618155
Name:THURGOOD, SARA LINDSEY (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:LINDSEY
Last Name:THURGOOD
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 1:1925 PROVIDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-3945
Mailing Address - Country:US
Mailing Address - Phone:386-774-7262
Mailing Address - Fax:386-481-5531
Practice Address - Street 1:1925 PROVIDENCE BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-3945
Practice Address - Country:US
Practice Address - Phone:386-774-7262
Practice Address - Fax:386-481-5531
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL36241207Q00000X
FLME161837207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine