Provider Demographics
NPI:1093476319
Name:BOYER, SABINE BONNET
Entity Type:Individual
Prefix:
First Name:SABINE
Middle Name:BONNET
Last Name:BOYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17970 NE 31ST CT APT 4222
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-5005
Mailing Address - Country:US
Mailing Address - Phone:786-468-5411
Mailing Address - Fax:
Practice Address - Street 1:17970 NE 31ST CT APT 4222
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-5005
Practice Address - Country:US
Practice Address - Phone:786-468-5411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA76164225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty