Healthcare Provider Details

I. General information

NPI: 1265347769
Provider Name (Legal Business Name): SABRINA BYRD-DIAZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 W SEMINOLE BLVD
SANFORD FL
32771-6743
US

IV. Provider business mailing address

6513 HELMSLEY CIR
WINDERMERE FL
34786-5905
US

V. Phone/Fax

Practice location:
  • Phone: 407-302-7394
  • Fax:
Mailing address:
  • Phone: 407-963-6225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPS26682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: