Provider Demographics
NPI:1346948320
Name:HUBECK, SARAH ROSE (APRN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROSE
Last Name:HUBECK
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 748817
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8817
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:515 S KINGS AVE STE 3100
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5921
Practice Address - Country:US
Practice Address - Phone:813-681-9171
Practice Address - Fax:877-409-2423
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024407363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health