MEDICARE: SANFORD I DAVIS MD

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	2085R0202X	Diagnostic Radiology Physician	G87448	CA
2	2085R0202X	Diagnostic Radiology Physician	ME31479	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1558472233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANFORD I DAVIS MD

Provider Business Mailing Address
First Line	:	7899 TALAVERA PL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-4322
Country	:	US
Telephone Number	:	561-498-3248
Fax Number	:	561-498-1216

Provider Business Practice Location Address
First Line	:	7899 TALAVERA PL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-4322
Country	:	US
Telephone Number	:	646-381-2141
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/18/2026

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