SABINE ST FORT (NPI# 1710307194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710307194 |
| Entity Type | Individual |
| Full Name | SABINE ST FORT |
| Credential | PA-C |
| Practice Address |
909 N Miami Beach Blvd Suite 503 North Miami Beach FL 33162-3712 |
| Mailing Address |
11630 Sw 2nd St Apt 17-308 Pembroke Pines FL 33025-4904 |
| Practice Telephone | 3059448887 |
| Mailing Telephone | 3057985450 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107123 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
909 N MIAMI BEACH BLVD SUITE 503 |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33162-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265745 | Yukhanan Benjamin | General Practice | 909 N Miami Beach Blvd, Suite 101, North Miami Beach, FL 33162-3712 | 2005-09-14 |
| 1174061758 | Joseph Leon Berg | Counselor | 909 N Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162-3712 | 2017-02-03 |
| 1124499546 | Applied Behaviorsolutions, LLC | Early Intervention Provider Agency | 909 N Miami Beach Blvd, Suite #301, North Miami Beach, FL 33162-3712 | 2015-10-12 |
| 1538436431 | Bravo Dental P.a. | Dentist | 909 N Miami Beach Blvd, Suite 501, North Miami Beach, FL 33162-3712 | 2011-11-19 |
| 1043489446 | Wayne R. Porter M.d. P.a. | Specialist | 909 N Miami Beach Blvd, Suite 203, North Miami Beach, FL 33162-3712 | 2008-02-29 |
| 1407045644 | Anita Petteway | Internal Medicine | 909 N Miami Beach Blvd, Suite 503, North Miami Beach, FL 33162-3712 | 2007-10-23 |
| 1386840189 | 167th Street Medical Center Inc | Family Medicine | 909 N Miami Beach Blvd, Suite 101, North Miami Beach, FL 33162-3712 | 2007-06-27 |
| 1104967447 | Angeles Medical Center | Clinic/Center | 909 N Miami Beach Blvd, Suite 203, North Miami Beach, FL 33162-3712 | 2007-02-09 |
| 1376682039 | Center for Holistic Health Care Inc | Chiropractor | 909 N Miami Beach Blvd, Suite 403, North Miami Beach, FL 33162-3712 | 2007-02-06 |
| 1649292558 | Santander Medical Center | Clinic/Center | 909 N Miami Beach Blvd, Suite 204, North Miami Beach, FL 33162-3712 | 2006-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942330493 | Monica Howard | Physician Assistant | 18300 Ne 19th Avenue, North Miami Beach, FL 33179 | 2007-03-06 |
| 1689729733 | Geralda Phanor Fleuranvil | Physician Assistant | 16751 Ne 6th Ave, North Miami Beach, FL 33162 | 2007-01-25 |
| 1518424951 | Kim Mara Dierickx | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2019-02-21 |
| 1598221418 | Monica Vega | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2019-02-15 |
| 1033680368 | Nathalie Salamanca | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2018-12-16 |
| 1619450681 | Giuliana Santoro | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2018-09-14 |
| 1497238471 | Cinthia Artiles Hernandez | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2018-09-14 |
| 1083111355 | Marie Elise Chrest | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2018-04-12 |
| 1124547336 | Katherine A Laporta | Physician Assistant | 100 Nw 170th St Ste 301, North Miami Beach, FL 33169-5511 | 2017-09-19 |
| 1891232583 | Amy Michaels | Physician Assistant | 100 Nw 170th St, Suite 301, North Miami Beach, FL 33169-5513 | 2017-01-19 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33162 |
Please comment or provide details below to improve the information on SABINE ST FORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.