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NPI Code Detail

MEDICARE: DR. LAURIE N SABRA PH.D.

MEDICARE: DR. LAURIE N SABRA 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
1103T00000XPsychologistPY0004261FL

General Provider Information

NPI Number : 1881701704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURIE N SABRA PH.D.
Provider Business Mailing Address
First Line : 4600 SHERIDAN ST
Second Line : SUITE 400
City : HOLLYWOOD
State : FL
Zip : 33021-3409
Country : US
Telephone Number : 954-989-3600
Fax Number : 954-894-1884
Provider Business Practice Location Address
First Line : 4600 SHERIDAN ST
Second Line : SUITE 400
City : HOLLYWOOD
State : FL
Zip : 33021-3409
Country : US
Telephone Number : 954-989-3600
Fax Number : 954-894-1884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 02/06/2008

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