MEDICARE: KENNETH CHRISTOPHER SABATINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME83659	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003805664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH CHRISTOPHER SABATINO MD

Provider Business Mailing Address
First Line	:	455 PINELLAS STREET
Second Line	:	SUITE 400
City	:	CLEARWATER
State	:	FL
Zip	:	33756-3356
Country	:	US
Telephone Number	:	727-445-1911
Fax Number	:	727-445-1986

Provider Business Practice Location Address
First Line	:	1840 MEASE DR STE 202
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-6604
Country	:	US
Telephone Number	:	727-725-6246
Fax Number	:	727-726-5865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	11/15/2018

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