Individual
DR. DUSAN SABOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
699 W COCOA BEACH CSWY, SUITE 506, COCOA BEACH, FL 32931
(321) 868-7222
(321) 868-7221
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 434-4600
(321) 259-0625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0061396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370497101
—
FL
Enumeration date
07/22/2005
Last updated
11/10/2021
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