Provider Demographics
NPI:1720794597
Name:SMITH, SABRINA CHRISTINE (CERTIFIED CAREGIVER)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:CHRISTINE
Last Name:SMITH
Suffix:
Gender:F
Credentials:CERTIFIED CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2638 JOHNSON ST # 49
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-3822
Mailing Address - Country:US
Mailing Address - Phone:561-696-1574
Mailing Address - Fax:
Practice Address - Street 1:2638 JOHNSON ST # 49
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-3822
Practice Address - Country:US
Practice Address - Phone:561-696-1574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide