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NPI Code Detail

MEDICARE: SABRINA UDDIN

MEDICARE: SABRINA UDDIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantAA1174FL

General Provider Information

NPI Number : 1033081674
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA UDDIN
Provider Business Mailing Address
First Line : 3868 COASTAL COVE CIR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-0003
Country : US
Telephone Number : 904-428-6144
Fax Number :
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-428-6144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2025
Last Update Date : 12/16/2025

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Directions to “ SABRINA UDDIN ” Practice Location

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