MEDICARE: MS. SABRINA CADE CSFA

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	246ZC0007X	Surgical Assistant	208715

General Provider Information

NPI Number	:	1073399697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SABRINA CADE CSFA

Provider Business Mailing Address
First Line	:	11251 WINDTREE DR E
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-1486
Country	:	US
Telephone Number	:	904-881-2434
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 3RD AVE N STE 100
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-7045
Country	:	US
Telephone Number	:	904-853-6130
Fax Number	:

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

Provider Enumeration Date	:	09/08/2023
Last Update Date	:	09/08/2023

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