Healthcare Provider Details

I. General information

NPI: 1487249314
Provider Name (Legal Business Name): SABRINA GEBERT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2021
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PROFESSIONAL BLVD
DAYTONA BEACH FL
32114-3840
US

IV. Provider business mailing address

104 10TH ST
SAINT AUGUSTINE BEACH FL
32080-2902
US

V. Phone/Fax

Practice location:
  • Phone: 386-257-2672
  • Fax:
Mailing address:
  • Phone: 904-671-3821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT36852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: