Individual provider · Type 1 NPI
Sharon Sanford Banasiewicz, PA-C
Surgical Physician Assistant · Tallahassee, FL
NPI number
1245575935
Active
Practice location
2452 Mahan Dr Ste 101
Tallahassee, FL 32308-5377
Fax (850) 877-6046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA 9106960 (FL) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
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About NPI 1245575935
Sharon Sanford Banasiewicz, PA-C's National Provider Identifier is 1245575935, issued on Dec 6, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tallahassee, FL. The record was last updated on Oct 26, 2016.