Sebastian Hastur Shrager
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1124681978
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1124681978
- Entity type
- Individual (NPI-1)
- Name
- Sebastian Hastur Shrager
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2019
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1600 S Andrews AveFort Lauderdale, FL 33316-2510
Phone 954-549-2094
Mailing address
1600 S Andrews AveFort Lauderdale, FL 33316-2510
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