MEDICARE: STEVEN GARY SABLE D.O.

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
1	2084N0400X	Neurology Physician	OS5834	FL

General Provider Information

NPI Number	:	1164421681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN GARY SABLE D.O.

Provider Business Mailing Address
First Line	:	499 E CENTRAL PKWY
Second Line	:	SUITE 150
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3402
Country	:	US
Telephone Number	:	407-260-1001
Fax Number	:	407-260-9009

Provider Business Practice Location Address
First Line	:	499 E CENTRAL PKWY
Second Line	:	SUITE 150
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3402
Country	:	US
Telephone Number	:	407-260-1001
Fax Number	:	407-260-9009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/13/2007

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