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NPI Code Detail

MEDICARE: SABRINA AMAZAN

MEDICARE:   SABRINA  AMAZAN
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
1310400000XAssisted Living FacilityAL12638FL

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 : 1871008607
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA AMAZAN
Provider Business Mailing Address
First Line : 326 BLUFF LN
Second Line :
City : APOPKA
State : FL
Zip : 32712-3430
Country : US
Telephone Number : 407-970-5558
Fax Number :
Provider Business Practice Location Address
First Line : 5 FAIRGREEN AVE
Second Line :
City : NEW SMYRNA BEACH
State : FL
Zip : 32168-6112
Country : US
Telephone Number : 407-970-5558
Fax Number : 407-970-5558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2017
Last Update Date : 12/01/2017

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Directions to “ SABRINA AMAZAN ” Practice Location

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