Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sara Grace Wallin, PA-C

Individual provider Family Medicine Physician · NPI 1053903294

Sara Grace Wallin, PA-C is a Physician Assistant in Pembroke Pines, Florida. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 N Hiatus Rd
Pembroke Pines, FL 33026-5207
Phone: (954) 526-6378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 N Main Ave, Lovington, NM 88260-2813 — (575) 396-6611

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence PA9114066 (FL)

Record details

NPI number1053903294
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Pembroke Pines