NPI 1760293021 · live from the CMS NPI Registry
Sara M Aboud, PA-C
Physician Assistant in Jacksonville, FL. National Provider Identifier 1760293021, active.
NPI record
| NPI | 1760293021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 836 Prudential Dr Ste 1700, Jacksonville, FL 32207 |
| Practice phone | 904-398-0125 |
| Mailing address | Po Box 746652, Atlanta, GA 30374 |
| Enumerated | January 16, 2025 |
| Last updated | April 17, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 1221554 (FL) |
| Physician Assistant primary | 363A00000X | PA9119952 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.