Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SANARA CLINICAL SERVICES PLLC
NPI 1063205425
Nurse Practitioner - Family in Fruitland Park, FL

Active since May 27, 2025
1221 ATLANTIC AVE, FRUITLAND PARK, FL 34731(352) 399-8124 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sanara Clinical Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANARA CLINICAL SERVICES PLLC (NPI 1063205425) is a healthcare organization registered as a family in Fruitland Park, Florida and active in the NPI registry since May 2025. The organization lists Jessica Cassella, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1063205425
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSANARA CLINICAL SERVICES PLLC
Location Address1221 ATLANTIC AVEFruitland Park, FL 34731-3245
Mailing Address1221 Atlantic AveFruitland Park, FL 34731-3245
Organization SubpartNo
Authorized OfficialJessica CassellaPractice Owner · (352) 399-8124
Enumeration DateMay 27, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1063205425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1221 ATLANTIC AVE, Fruitland Park, FL 34731

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1221 ATLANTIC AVE
FRUITLAND PARK, FL 34731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanara Clinical Services PLLC's NPI number?

The NPI number for Sanara Clinical Services PLLC is 1063205425. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Sanara Clinical Services PLLC located?

Sanara Clinical Services PLLC is located at 1221 Atlantic Ave, Fruitland Park, FL 34731. The listed phone number is (352) 399-8124.

What is Sanara Clinical Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sanara Clinical Services PLLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.