MEDICARE: SABINE GASPARD RN

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	163W00000X	Registered Nurse	RN9298849	FL

General Provider Information

NPI Number	:	1871291443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABINE GASPARD RN

Provider Business Mailing Address
First Line	:	18640 NW 2ND AVE UNIT 694161
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	786-413-4079
Fax Number	:

Provider Business Practice Location Address
First Line	:	18640 NW 2ND AVE UNIT 694161
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	786-413-4079
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	02/22/2023

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