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NPI Code Detail

MEDICARE: TABITA SARAFINA ANTOINE

MEDICARE: TABITA SARAFINA ANTOINE
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
1106S00000XBehavior TechnicianRBT-25-470622FL

General Provider Information

NPI Number : 1376479345
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITA SARAFINA ANTOINE
Provider Business Mailing Address
First Line : 5525 NW MANVILLE DR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-2321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10272 S US HIGHWAY 1
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34952-5615
Country : US
Telephone Number : 772-872-6940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ TABITA SARAFINA ANTOINE ” Practice Location

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