Healthcare Provider Details

I. General information

NPI: 1558472233
Provider Name (Legal Business Name): SANFORD I DAVIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7899 TALAVERA PL
DELRAY BEACH FL
33446-4322
US

IV. Provider business mailing address

7899 TALAVERA PL
DELRAY BEACH FL
33446-4322
US

V. Phone/Fax

Practice location:
  • Phone: 646-381-2141
  • Fax:
Mailing address:
  • Phone: 561-498-3248
  • Fax: 561-498-1216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG87448
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME31479
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: