Provider Demographics
NPI:1548646748
Name:SABRIYA B ISHOOF MD OBGYN PA
Entity type:Organization
Organization Name:SABRIYA B ISHOOF MD OBGYN PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRIYA
Authorized Official - Middle Name:B
Authorized Official - Last Name:ISHOOF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-766-0755
Mailing Address - Street 1:8525 SW 92ND ST
Mailing Address - Street 2:SUITE D16
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7365
Mailing Address - Country:US
Mailing Address - Phone:786-401-6562
Mailing Address - Fax:
Practice Address - Street 1:8525 SW 92ND ST
Practice Address - Street 2:SUITE D16
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7365
Practice Address - Country:US
Practice Address - Phone:786-401-6562
Practice Address - Fax:786-212-1406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98193207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLR2916Medicare PIN