Organization Active NPI

Bozena B Sabala DO PA

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1164605408
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8316 Issued in FL
Legal business name
BOZENA B SABALA DO PA
Practice address
2014 Drew St
Ste 1
Clearwater, FL 33765-3100
Phone
(727) 443-3832
Fax
(727) 443-7903
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bozena Barbara Sabala, DONPI 1790706406
Title
President
Phone
(727) 443-3832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS8316 FL Primary

Addresses

Primary practice location

2014 Drew St
Ste 1
Clearwater, FL 33765-3100

Mailing address

2014 Drew St
Ste 1
Clearwater, FL 33765-3100
Phone (727) 443-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000366 FL Part B Supplier - Clinic/Group Practice 1456323799 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Locations

525 S Hercules Ave
Ste 101
Clearwater, FL 33764
Phone (727) 216-3572

2014 Drew St
Ste 1
Clearwater, FL 33765
Phone (727) 443-3832

525 S Hercules Ave
Unit 1
Clearwater, FL 33764
Phone (727) 443-3832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1164605408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 DREW ST",
            "address_2": "STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653100",
            "telephone_number": "727-443-3832",
            "fax_number": "727-443-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 DREW ST",
            "address_2": "STE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653100",
            "telephone_number": "727-443-3832",
            "fax_number": "727-443-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZENA B SABALA DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "SABALA",
        "authorized_official_first_name": "BOZENA",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-443-3832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.