Healthcare Provider Details
I. General information
NPI: 1063665594
Provider Name (Legal Business Name): SAB MEDICAL CONSULTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/28/2008
Last Update Date: 08/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1234 S DIXIE HWY
CORAL GABLES FL
33146-2902
US
IV. Provider business mailing address
1234 S DIXIE HWY
CORAL GABLES FL
33146-2902
US
V. Phone/Fax
- Phone: 954-854-3366
- Fax: 561-828-2653
- Phone: 954-854-3366
- Fax: 561-828-2653
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
A
BERNSTEIN
Title or Position: OWNER
Credential:
Phone: 954-854-3366