Provider Demographics
NPI:1578210399
Name:DOCTEUR, SABINE DOROTHY (MD PA MBA MSC)
Entity type:Individual
Prefix:DR
First Name:SABINE
Middle Name:DOROTHY
Last Name:DOCTEUR
Suffix:
Gender:F
Credentials:MD PA MBA MSC
Other - Prefix:
Other - First Name:SABINE
Other - Middle Name:DOROTHY
Other - Last Name:DELMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1036 MATTIE POINTE WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-3758
Mailing Address - Country:US
Mailing Address - Phone:407-793-9485
Mailing Address - Fax:
Practice Address - Street 1:1091 BETHPAGE RD
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-8408
Practice Address - Country:US
Practice Address - Phone:407-793-9485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1142-P.A.363A00000X
AZ9548363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant