Organization provider

SANARA CLINICAL SERVICES PLLC

Family Nurse Practitioner Medicare enrolled

SANARA CLINICAL SERVICES PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1063205425, based in Fruitland Park, FL. It is classified under Family Nurse Practitioner.

Getting there

The practice address on file is 104 W MILLER ST UNIT 435, Fruitland Park, FL 34731. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

104 W MILLER ST UNIT 435, Fruitland Park, FL 34731 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
0143739920
Enrollment ID
O20250603002220

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1063205425 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 27, 2025
Last updatedMay 27, 2025
StatusActive
Practice address 104 W MILLER ST UNIT 435
Fruitland Park, FL 34731
(352) 399-8124
This record was updated on May 27, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1063205425 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 2 0 5 4 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 4 0 1 4 4

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063205425?
NPI 1063205425 is the National Provider Identifier assigned to SANARA CLINICAL SERVICES PLLC in Fruitland Park, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact SANARA CLINICAL SERVICES PLLC?
The phone number on file with NPPES is (352) 399-8124, last updated May 27, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SANARA CLINICAL SERVICES PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063205425 a valid number?
Yes. 1063205425 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.