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NPI Code Detail

MEDICARE: STEVEN R SACKS D.O.

MEDICARE: STEVEN R SACKS D.O.
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
1207RG0100XGastroenterology PhysicianOS7360FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326067935
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN R SACKS D.O.
Provider Business Mailing Address
First Line : 5431 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-4639
Country : US
Telephone Number : 954-344-2522
Fax Number : 954-344-9189
Provider Business Practice Location Address
First Line : 1447 MEDICAL PARK BLVD
Second Line : SUITE 205
City : WELLINGTON
State : FL
Zip : 33414-3164
Country : US
Telephone Number : 561-798-2425
Fax Number : 561-798-6356
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 10/10/2012

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Directions to “ STEVEN R SACKS D.O.” Practice Location

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