SANARA CLINICAL SERVICES PLLC
NPI 1063205425
Nurse Practitioner - Family in Fruitland Park, FL
NPI Status: Active since May 27, 2025
Contact Information
104 W MILLER ST UNIT 435
FRUITLAND PARK, FL
ZIP 34731
Phone: (352) 399-8124
- Organization
- Nurse Practitioner
- Family
About SANARA CLINICAL SERVICES PLLC
This page provides the complete NPI Profile along with additional information for Sanara Clinical Services Pllc, a provider established in Fruitland Park, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063205425 assigned on May 2025. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated May 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jessica Moscoso (Practice Owner)
- NPI
- 1063205425
- Provider Name
- SANARA CLINICAL SERVICES PLLC
- Entity Type
- Organization
- Location Address
- 104 W MILLER ST UNIT 435 FRUITLAND PARK, FL 34731
- Location Phone
- (352) 399-8124
- Mailing Address
- 104 W MILLER ST UNIT 435 FRUITLAND PARK, FL 34731
- Mailing Phone
- (352) 399-8124
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2025
- Last Update Date
- 05-27-2025
- Code Navigator
A nurse practitioner (NP) like Sanara Clinical Services Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 2 | 0 | 5 | 4 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 4 | 0 | 10 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 4 + 0 + 1 + 0 + 4 + 4 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1063205425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063205425, enumerated in the NPI registry as an "organization" on May 27, 2025
The provider is located at 104 W Miller St Unit 435 Fruitland Park, Fl 34731 and the phone number is (352) 399-8124
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
This NPI record was last updated on May 27, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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