Provider Demographics
NPI:1801895131
Name:SABARRA, HOWARD NEIL (MD , PA)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:NEIL
Last Name:SABARRA
Suffix:
Gender:M
Credentials:MD , PA
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Mailing Address - Street 1:3199 LAKE WORTH RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3652
Mailing Address - Country:US
Mailing Address - Phone:561-642-5300
Mailing Address - Fax:561-642-4004
Practice Address - Street 1:3199 LAKE WORTH RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-3652
Practice Address - Country:US
Practice Address - Phone:561-642-5300
Practice Address - Fax:561-642-4004
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2011-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME20399208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50624Medicare ID - Type Unspecified
FLD55760Medicare UPIN
FL50624ZMedicare PIN