Provider Demographics
NPI:1619927332
Name:SABAT, MELISSA T (CRNA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:T
Last Name:SABAT
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:S
Other - Last Name:BRINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 919330
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9330
Mailing Address - Country:US
Mailing Address - Phone:941-360-1566
Mailing Address - Fax:941-358-9818
Practice Address - Street 1:1000 W MORENO ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-2316
Practice Address - Country:US
Practice Address - Phone:850-437-8390
Practice Address - Fax:850-437-8394
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2807622367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG3303OtherBLUE SHIELD
P00134543OtherPALMETTO GBA - RR MEDICAR
AL009984545Medicaid
FL305496900Medicaid
AL59169910OtherBLUE SHIELD
AL59169911OtherBLUE SHIELD
AL59169910OtherBLUE SHIELD