Provider Demographics
NPI:1497182836
Name:FERNANDEZ SABATER, ALBERTO J (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:J
Last Name:FERNANDEZ SABATER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6610 N UNIVERSITY DR STE 210
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4000
Mailing Address - Country:US
Mailing Address - Phone:954-724-9640
Mailing Address - Fax:
Practice Address - Street 1:6610 N UNIVERSITY DR STE 210
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4000
Practice Address - Country:US
Practice Address - Phone:954-724-9640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME725452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256444100Medicaid