Doctor Name: | MISS DIANE MARLA SABEL |
NPI Number: | 1265671861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | PA9104904 |
Business Practice Address: | 6015 Rex Hall Ln Apollo Beach, FL - 335722657 |
Business Phone Number: | 8136410068 |
Business Fax Number: | 8136453816 |
Mailing Address: | 13514 Avista Dr, TAMPA |
State: | FL |
Postal Code: | 336244348 |
Phone Number: | 8133107827 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2009 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9104904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |