Provider Demographics
NPI:1770330953
Name:DUPREE, SABIAN
Entity type:Individual
Prefix:
First Name:SABIAN
Middle Name:
Last Name:DUPREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 BLANDING BLVD APT 504
Mailing Address - Street 2:APT 504
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-7870
Mailing Address - Country:US
Mailing Address - Phone:904-361-1817
Mailing Address - Fax:
Practice Address - Street 1:1535 BLANDING BLVD APT 504
Practice Address - Street 2:APT 504
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-7870
Practice Address - Country:US
Practice Address - Phone:904-361-1817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide