Provider Demographics
NPI:1760792543
Name:HOWARD N SABARRA M.D., PA
Entity Type:Organization
Organization Name:HOWARD N SABARRA M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:SABARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-642-5300
Mailing Address - Street 1:3199 LAKE WORTH RD STE B1
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3652
Mailing Address - Country:US
Mailing Address - Phone:561-642-5300
Mailing Address - Fax:561-642-4004
Practice Address - Street 1:3199 LAKE WORTH RD STE B1
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3652
Practice Address - Country:US
Practice Address - Phone:561-642-5300
Practice Address - Fax:561-642-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0020399208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEA210AMedicare PIN
FLD55760Medicare UPIN