Provider Demographics
NPI:1033452578
Name:SEUS, SABRINA MARIE (DO)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:SEUS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2496 HARBOUR COVE DR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34949-1561
Mailing Address - Country:US
Mailing Address - Phone:209-483-5985
Mailing Address - Fax:
Practice Address - Street 1:1700 SOUTH 23RD STREET
Practice Address - Street 2:LAWNWOOD REGIONAL MEDICAL CENTER
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-467-8291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS14027207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program