Healthcare Provider Details

I. General information

NPI: 1730059957
Provider Name (Legal Business Name): SAVANNAH S DEAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CORAL HILLS DR
CORAL SPRINGS FL
33065-4108
US

IV. Provider business mailing address

206 ELM WAY
BOYNTON BEACH FL
33426-9360
US

V. Phone/Fax

Practice location:
  • Phone: 954-344-3000
  • Fax:
Mailing address:
  • Phone: 954-661-7910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number9469583
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: