Provider Demographics
NPI:1548141369
Name:FREDERIC, SABRINA (APRN)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:FREDERIC
Suffix:
Gender:X
Credentials:APRN
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 277543
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-7543
Mailing Address - Country:US
Mailing Address - Phone:404-717-5933
Mailing Address - Fax:
Practice Address - Street 1:55 NE 5TH ST UNIT 4409
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-2045
Practice Address - Country:US
Practice Address - Phone:404-717-5933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041666363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner