Provider Demographics
NPI:1588990634
Name:MARCH, SOPHIA A (ARNP)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:A
Last Name:MARCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 PARNASSUS AVE
Mailing Address - Street 2:# A808
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2202
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:5301 N DIXIE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3447
Practice Address - Country:US
Practice Address - Phone:954-772-1220
Practice Address - Fax:954-771-5551
Is Sole Proprietor?:No
Enumeration Date:2009-10-26
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2685472363LA2200X
CA95014624363L00000X
FLARNP2685472363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY09HCOtherBCBS
FL004398100Medicaid
FL9179806OtherAETNA
FLP01013935OtherRAILROAD MCR
FLP940602OtherOPTIMUM
FLP0005558OtherFLORIDA HEALTHCARE PLUS
FLP999512OtherFREEDOM HEATH
FLY09HCOtherBCBS