MEDICARE: SAIKOU MICHEAL SABALLY

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1912823410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIKOU MICHEAL SABALLY

Provider Business Mailing Address
First Line	:	4912 BRIAR OAKS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1706
Country	:	US
Telephone Number	:	347-695-6705
Fax Number	:

Provider Business Practice Location Address
First Line	:	4912 BRIAR OAKS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-1706
Country	:	US
Telephone Number	:	347-695-6705
Fax Number	:

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

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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Directions to “ SAIKOU MICHEAL SABALLY ” Practice Location

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