Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME83659 | FL |
NPI | 1003805664 |
---|---|
Provider Name | Kenneth Christopher Sabatino |
First Address | Clearwater, FL 33756-3356 |
Second Address | Safety Harbor, FL 34695-6604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 15/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262818000 | (05) | FL |
F95834 | (02) |