Provider Demographics
NPI:1245722974
Name:ALEX SABO DO PA
Entity type:Organization
Organization Name:ALEX SABO DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-416-1781
Mailing Address - Street 1:1900 N BAYSHORE DR APT 4508
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3025
Mailing Address - Country:US
Mailing Address - Phone:954-579-3916
Mailing Address - Fax:954-239-3902
Practice Address - Street 1:1900 N BAYSHORE DR APT 4508
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3025
Practice Address - Country:US
Practice Address - Phone:954-579-3916
Practice Address - Fax:954-239-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS130972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25460OtherBCBS