Provider Demographics
NPI:1821543042
Name:SENTINEL MSO INC
Entity Type:Organization
Organization Name:SENTINEL MSO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SABATES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-878-5500
Mailing Address - Street 1:2800 PONCE DE LEON BLVD
Mailing Address - Street 2:SUITE 1480
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6913
Mailing Address - Country:US
Mailing Address - Phone:786-878-5500
Mailing Address - Fax:786-552-9696
Practice Address - Street 1:747 PONCE DE LEON BLVD
Practice Address - Street 2:SUITE 602
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2049
Practice Address - Country:US
Practice Address - Phone:305-443-9342
Practice Address - Fax:305-443-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207Q00000X, 207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty