MEDICARE: MR. ABIMAEL SANABIA BC-HIS, ACA

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	237700000X	Hearing Instrument Specialist	AS2556	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255518353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ABIMAEL SANABIA BC-HIS, ACA

Provider Business Mailing Address
First Line	:	710 W COLONIAL DR STE 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-7356
Country	:	US
Telephone Number	:	407-649-9696
Fax Number	:	407-649-9696

Provider Business Practice Location Address
First Line	:	710 W COLONIAL DR STE 101
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-7356
Country	:	US
Telephone Number	:	407-649-9696
Fax Number	:

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

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	04/14/2010

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