Provider Demographics
NPI:1265671861
Name:SABEL, DIANE MARLA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:DIANE
Middle Name:MARLA
Last Name:SABEL
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:13514 AVISTA DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4348
Mailing Address - Country:US
Mailing Address - Phone:813-310-7827
Mailing Address - Fax:
Practice Address - Street 1:6015 REX HALL LN
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2657
Practice Address - Country:US
Practice Address - Phone:813-641-0068
Practice Address - Fax:813-645-3816
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9104904363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical