MEDICARE: DR. SAMUEL HOWARD SADOW 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	174400000X	Specialist	ME45344	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	73250	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619960614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL HOWARD SADOW M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2651
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-2651
Country	:	US
Telephone Number	:	561-833-8663
Fax Number	:	561-833-8663

Provider Business Practice Location Address
First Line	:	600 UNIVERSITY BLVD
Second Line	:	SUITE 200
City	:	JUPITER
State	:	FL
Zip	:	33458-2778
Country	:	US
Telephone Number	:	877-395-6731
Fax Number	:	561-627-2928

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/02/2011

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