| Doctor Name: | MS. SABRINA WU STAPLES |
| NPI Number: | 1013106376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A |
| License Number: | PA9104411 |
| Business Practice Address: | 3337 Hoofprint Dr Melbourne, FL - 329402304 |
| Business Phone Number: | 3216107234 |
| Business Fax Number: | |
| Mailing Address: | 3337 Hoofprint Dr, MELBOURNE |
| State: | FL |
| Postal Code: | 329402304 |
| Phone Number: | 3216107234 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 03/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9104411 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |