Provider Demographics
NPI:1427417369
Name:CHRISTIAN, SABRINA (PA-C)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 W 49TH PL
Mailing Address - Street 2:APT 107
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3124
Mailing Address - Country:US
Mailing Address - Phone:863-393-6528
Mailing Address - Fax:
Practice Address - Street 1:1337 W 49TH PL
Practice Address - Street 2:APT 107
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3124
Practice Address - Country:US
Practice Address - Phone:863-393-6528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-21
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9107361363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical