Provider Demographics
NPI:1730842006
Name:RALBAG, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:RALBAG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21702 SAN SIMEON CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3378
Mailing Address - Country:US
Mailing Address - Phone:516-737-7969
Mailing Address - Fax:
Practice Address - Street 1:21702 SAN SIMEON CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3378
Practice Address - Country:US
Practice Address - Phone:516-737-7969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant