Healthcare Provider Details

I. General information

NPI: 1164307013
Provider Name (Legal Business Name): SABINE MICHEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/09/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12952 UTOPIA GARDENS WAY
RIVERVIEW FL
33579-7060
US

IV. Provider business mailing address

12952 UTOPIA GARDENS WAY
RIVERVIEW FL
33579-7060
US

V. Phone/Fax

Practice location:
  • Phone: 954-864-9820
  • Fax:
Mailing address:
  • Phone: 954-663-7839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN9608446
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN9608446
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9608446
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN9608446
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: