Provider Demographics
NPI:1164796801
Name:SASSINE, MICHELE CARMEN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:CARMEN
Last Name:SASSINE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 9TH ST STE 113
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-4348
Mailing Address - Country:US
Mailing Address - Phone:813-790-8815
Mailing Address - Fax:
Practice Address - Street 1:5381 PRIMROSE LAKE CIRCLE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647
Practice Address - Country:US
Practice Address - Phone:813-615-2488
Practice Address - Fax:813-615-2504
Is Sole Proprietor?:No
Enumeration Date:2012-02-27
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9231362363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily