Healthcare Provider Details

I. General information

NPI: 1912295478
Provider Name (Legal Business Name): CHERYL LYNN SABEN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 OCOEE APOPKA RD STE 120
APOPKA FL
32703-9210
US

IV. Provider business mailing address

5102 OTTERS DEN TRL
SANFORD FL
32771-8028
US

V. Phone/Fax

Practice location:
  • Phone: 407-889-1930
  • Fax: 407-889-1904
Mailing address:
  • Phone: 407-739-0349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9205325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: