Healthcare Provider Details

I. General information

NPI: 1952035560
Provider Name (Legal Business Name): SABRINA ROSE FERRELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5350 ATLANTIC AVE STE 102
DELRAY BEACH FL
33484-8112
US

IV. Provider business mailing address

29 SE 9TH AVE
DEERFIELD BEACH FL
33441-4034
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-4444
  • Fax:
Mailing address:
  • Phone: 612-423-7191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: