Provider Demographics
NPI:1154343317
Name:SABATES, GEORGE L (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:SABATES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6646 W ATLANTIC AVE
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1616
Mailing Address - Country:US
Mailing Address - Phone:561-637-4125
Mailing Address - Fax:561-637-8205
Practice Address - Street 1:5430 LINTON BLVD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6512
Practice Address - Country:US
Practice Address - Phone:561-637-4125
Practice Address - Fax:561-637-8205
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11752AMedicare ID - Type UnspecifiedMEDICARE NUMBER
11752AMedicare PIN