Healthcare Provider Details

I. General information

NPI: 1619927332
Provider Name (Legal Business Name): MELISSA T SABAT CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA S BRINSON CRNA

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W MORENO ST
PENSACOLA FL
32501-2316
US

IV. Provider business mailing address

PO BOX 919330
ORLANDO FL
32891-9330
US

V. Phone/Fax

Practice location:
  • Phone: 850-437-8390
  • Fax: 850-437-8394
Mailing address:
  • Phone: 941-360-1566
  • Fax: 941-358-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2807622
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: