Provider Demographics
NPI:1093958787
Name:LAUTURE, SABRINA B
Entity Type:Individual
Prefix:MISS
First Name:SABRINA
Middle Name:B
Last Name:LAUTURE
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 1:1855 THORNHILL RD APT 304
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4922
Mailing Address - Country:US
Mailing Address - Phone:813-417-6519
Mailing Address - Fax:
Practice Address - Street 1:3105 W WATERS AVE STE 212
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2873
Practice Address - Country:US
Practice Address - Phone:813-932-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-11
Last Update Date:2009-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist