MEDICARE: DR. SABRINA NICOLE PAVRI 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2086S0122X	Plastic and Reconstructive Surgery Physician	ME135969	FL

General Provider Information

NPI Number	:	1366735425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SABRINA NICOLE PAVRI MD

Provider Business Mailing Address
First Line	:	1018 YATES ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5717
Country	:	US
Telephone Number	:	410-218-3115
Fax Number	:	407-821-3556

Provider Business Practice Location Address
First Line	:	265 E ROLLINS ST STE 5300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-5519
Country	:	US
Telephone Number	:	407-821-3555
Fax Number	:	407-821-3556

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

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	03/02/2023

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