Provider Demographics
NPI:1952701831
Name:ELISEE, SABINE DELINOIS (DO)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:DELINOIS
Last Name:ELISEE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8896 ROYAL PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5803
Mailing Address - Country:US
Mailing Address - Phone:954-372-0179
Mailing Address - Fax:954-944-2957
Practice Address - Street 1:8896 ROYAL PALM BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5803
Practice Address - Country:US
Practice Address - Phone:954-372-0179
Practice Address - Fax:954-944-2957
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine