Healthcare Provider Details

I. General information

NPI: 1760875645
Provider Name (Legal Business Name): ALEX SABO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SUNSET DR STE 305
SOUTH MIAMI FL
33143-4829
US

IV. Provider business mailing address

1900 N BAYSHORE DR APT 4508
MIAMI FL
33132-3025
US

V. Phone/Fax

Practice location:
  • Phone: 305-661-6501
  • Fax: 305-661-1672
Mailing address:
  • Phone: 949-302-9278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberOS13097
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: