Individual
SABINE ST FORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 N MIAMI BEACH BLVD, SUITE 503, NORTH MIAMI BEACH, FL 33162-3712
(305) 944-8887
Mailing address
11630 SW 2ND ST, APT 17-308, PEMBROKE PINES, FL 33025-4904
(305) 798-5450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9107123
FL
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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