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1710307194
SABINE ST FORT
NORTH MIAMI BEACH, FL
NPI
1710307194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL pa9107123)
Enumeration Date
2014-04-23
Last Update Date
2014-04-23
Business Address
-- SABINE ST FORT PA-C
909 N MIAMI BEACH BLVD SUITE 503
NORTH MIAMI BEACH, FL 33162-3712
Phone number: 305-944-8887
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Mailing Address
-- SABINE ST FORT PA-C
11630 SW 2ND ST APT 17-308
PEMBROKE PINES, FL 33025-4904
Phone number: 305-798-5450
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