Provider Demographics
NPI:1174331789
Name:DIMATTEO, SARAH (NBC-WHC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:DIMATTEO
Suffix:
Gender:F
Credentials:NBC-WHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2996 SW PORT ST LUCIE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3217
Mailing Address - Country:US
Mailing Address - Phone:772-272-8442
Mailing Address - Fax:
Practice Address - Street 1:2996 SW PORT ST LUCIE BLVD
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3217
Practice Address - Country:US
Practice Address - Phone:772-272-8442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach