Provider Demographics
NPI:1669697637
Name:WIKLUND SABA, CARINA M (RPT)
Entity type:Individual
Prefix:
First Name:CARINA
Middle Name:M
Last Name:WIKLUND SABA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:M.
Other - Middle Name:CARINA
Other - Last Name:WIKLUND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPT
Mailing Address - Street 1:420 S DIXIE HWY STE 4D
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2232
Mailing Address - Country:US
Mailing Address - Phone:305-856-9000
Mailing Address - Fax:305-856-9910
Practice Address - Street 1:420 S DIXIE HWY STE 4D
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2232
Practice Address - Country:US
Practice Address - Phone:305-856-9000
Practice Address - Fax:305-856-9910
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL888136700Medicaid
FL888136701Medicaid
FL888136700Medicaid