Healthcare Provider Details

I. General information

NPI: 1972146306
Provider Name (Legal Business Name): KENT SABATOSE DO, DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HCA LAKE MONROE 1401 W SEMINOLE BLVD.
SANFORD FL
32771
US

IV. Provider business mailing address

HCA LAKE MONROE 1401 W SEMINOLE BLVD.
SANFORD FL
32771
US

V. Phone/Fax

Practice location:
  • Phone: 689-344-1575
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12935
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: