Provider Demographics
NPI:1265402010
Name:KABEL, SANDER E (DO)
Entity type:Individual
Prefix:DR
First Name:SANDER
Middle Name:E
Last Name:KABEL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7316 TONGA CT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7184
Mailing Address - Country:US
Mailing Address - Phone:561-740-9509
Mailing Address - Fax:561-740-9983
Practice Address - Street 1:7316 TONGA CT
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7184
Practice Address - Country:US
Practice Address - Phone:561-740-9509
Practice Address - Fax:561-740-9983
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 6190207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC-52417Medicare UPIN