Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanara Clinical Services PLLC

Organization Family Nurse Practitioner · NPI 1063205425

Sanara Clinical Services PLLC is a Family Nurse Practitioner in Fruitland Park, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1221 Atlantic Ave
Fruitland Park, FL 34731-3245
Phone: (352) 399-8124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1063205425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Cassella — Practice Owner · (352) 399-8124
NPI enumeratedMay 27, 2025
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1221 Atlantic Ave, Fruitland Park, FL 34731-3245

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