MEDICARE: SABIR ALIM CAP

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	10067	FL

General Provider Information

NPI Number	:	1417750340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABIR ALIM CAP

Provider Business Mailing Address
First Line	:	2039 OAKHURST WAY
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-1830
Country	:	US
Telephone Number	:	215-617-9941
Fax Number	:

Provider Business Practice Location Address
First Line	:	1497 FOREST HILL BLVD STE E
Second Line	:
City	:	LAKE CLARKE SHORES
State	:	FL
Zip	:	33406-6052
Country	:	US
Telephone Number	:	561-433-5687
Fax Number	:

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

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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