MEDICARE: JUSTIN MICHAEL SAYA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME109185	FL

General Provider Information

NPI Number	:	1093940041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN MICHAEL SAYA M.D.

Provider Business Mailing Address
First Line	:	1424 WOODGROVE CT
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2048
Country	:	US
Telephone Number	:	727-488-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 WOODGROVE CT
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-2048
Country	:	US
Telephone Number	:	727-488-1345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	01/24/2012

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