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Provider Information for 1790706406

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. BOZENA BARBARA SABALA D.O.

Gender: FEMALE

Individual NPI: 1790706406

Calendar   Last Updated:  2015-12-08
  Certification Date: 

Details

Name Value
NPI 1790706406
Enumeration Date 2006-07-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 525 S. HERCULES AVE. UNIT 1
CLEARWATER, FL 33764
United States

Phone: 727-443-3832 | Fax: 727-443-7903
View Map External Link
Primary Practice Address 525 S. HERCULES AVE. UNIT 1
CLEARWATER, FL 33764
United States

Phone: 727-443-3832 | Fax: 727-443-7903
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other AETNA FL 3539988
Other CIGNA FL 3899253
Other BCBS FL 44624
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL OS8316