MEDICARE: MARK G SABBOTA DO

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	OS8452	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	:	1346256526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK G SABBOTA DO

Provider Business Mailing Address
First Line	:	10650 W STATE ROAD 84
Second Line	:	SUITE 104
City	:	DAVIE
State	:	FL
Zip	:	33324-4235
Country	:	US
Telephone Number	:	954-382-1550
Fax Number	:	954-382-1250

Provider Business Practice Location Address
First Line	:	10650 W STATE ROAD 84
Second Line	:	SUITE 104
City	:	DAVIE
State	:	FL
Zip	:	33324-4235
Country	:	US
Telephone Number	:	954-382-1550
Fax Number	:	954-382-1250

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	03/29/2021

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Directions to “ MARK G SABBOTA DO” Practice Location

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