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NPI Code Detail

MEDICARE: JOHN JAMES SABO PH,D

MEDICARE: JOHN JAMES SABO PH,D
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548529522
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JAMES SABO PH,D
Provider Business Mailing Address
First Line : 2814 S US HIGHWAY 1 STE D4
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-8110
Country : US
Telephone Number : 772-489-4726
Fax Number : 772-489-0423
Provider Business Practice Location Address
First Line : 2814 S US HIGHWAY 1 STE D4
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-8110
Country : US
Telephone Number : 772-489-4726
Fax Number : 772-489-0423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2012
Last Update Date : 05/10/2012

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Directions to “ JOHN JAMES SABO PH,D” Practice Location

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