SAGO SUPERIOR MANAGEMENT INC


Address: 3040 36th Ave S, St Petersburg, FL 33712-3731
Phone: 7273207879

SAGO SUPERIOR MANAGEMENT INC (NPI# 1811152366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811152366
Entity Type Organization
Organization Name SAGO SUPERIOR MANAGEMENT INC
Practice Address 3040 36th Ave S
St Petersburg
FL 33712-3731
Mailing Address Po Box 15485
St Petersburg
FL 33733
Practice Telephone 7273207879
Practice Fax Number 7278653242
Mailing Telephone 7273207879
Mailing Fax Number 7278653242
Enumeration Date 2008-07-24
Last Update Date 2008-07-30
Authorized Official Name MS. SAFIYA A GORDON (PRESIDENT)
Authorized Official Telephone 7273207879
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
9176677 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 308592900 05

Office Location

Street Address 3040 36TH AVE S
City ST PETERSBURG
State FL
Zip Code 33712-3731

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831663616 Courtney Nicole West Community Health Worker 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 2019-01-15
1053820266 Tameka Flowers Nurse Practitioner 1719 Dayton Street South, Saint Petersburg, FL 33712 2017-09-20
1871030445 Telesa Andrea Reddick Specialist 1407 22nd Street South, St Pete, FL 33712 2017-01-20
1104286715 Touched By Faith Inc Community/Behavioral Health 2600 4th St, Saint Petersburg, FL 33712 2016-02-25
1457758476 Chris Wendling Pharmacist 2620 Desoto Way S, St Petersburg, FL 33712 2014-11-20
1700217239 Crystal Eva Adult Companion 2132 68th Ter S, St Petersburg, FL 33712 2013-12-10
1144598152 Tien Minh Tran Pharmacist 3350 Central Avenue, St Petersburg, FL 33712 2011-12-05
1588947410 Aru Richardson Counselor 555 31st Street South, Saint Petersburg, FL 33712 2011-09-27
1588990063 Garrett A Babbs Physician Assistant 1344 22nd St South, St Petersburg, FL 33712 2009-10-19
1225216260 Charlie Waller Colquitt Pharmacist 1344 22nd St So, St Petersburg, FL 33712 2008-02-01
Find all providers in zip 33712

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720644677 Marie Helen Dailey Nurse Practitioner 10601 Gandy Blvd N Apt 2220, St Petersburg, FL 33702-1484 2019-05-16
1366919557 Svetlana Nagle Nurse Practitioner 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 2018-10-25
1801285051 Ronsha Brown Nurse Practitioner 3551 42nd Ave S Ste B107, St Petersburg, FL 33711-4369 2015-01-12
1053718395 Laurel Elizabeth Dimaggio Nurse Practitioner 3040 2nd Ave N, St Petersburg, FL 33713-8615 2014-12-02
1558790949 Kristine Marie Sferra Nurse Practitioner 6325 23rd Ln N, St Petersburg, FL 33702-5624 2013-11-05
1770927485 Charlotte Deolaso Nurse Practitioner 859 37th Ave Ne, St Petersburg, FL 33704-1621 2013-04-24
1023274727 Kimberly Snyder Ristau Nurse Practitioner 5767 49th St N Ste A, St Petersburg, FL 33709-2106 2008-08-01
1841498623 Sandra Marie Racine Nurse Practitioner 6499 38th Ave N Ste G1, St Petersburg, FL 33710-1658 2007-07-03
1013968189 Brenda Dunlap Nurse Practitioner 900 49th St N, St Petersburg, FL 33710-6625 2006-05-13
1477510352 Catherine Marie Prawer Nurse Practitioner 5101 Brittany Dr S, St Petersburg, FL 33715-1565 2006-04-26
Find all providers in ST PETERSBURG

Competitor

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City ST PETERSBURG
Zip Code 33712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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