Provider Demographics
NPI:1386726826
Name:SABRKESH, AFROOZ (PA)
Entity type:Individual
Prefix:
First Name:AFROOZ
Middle Name:
Last Name:SABRKESH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8199
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33482-8199
Mailing Address - Country:US
Mailing Address - Phone:561-381-2300
Mailing Address - Fax:561-381-2301
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:F 101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-381-2300
Practice Address - Fax:561-381-2301
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101921363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ05667Medicare UPIN
FLU4934Medicare ID - Type Unspecified