Healthcare Provider Details

I. General information

NPI: 1992009674
Provider Name (Legal Business Name): SARI KAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 05/28/2023
Certification Date: 05/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11310 LEGACY AVE
PALM BEACH GARDENS FL
33410-3658
US

IV. Provider business mailing address

11310 LEGACY AVE
PALM BEACH GARDENS FL
33410-3658
US

V. Phone/Fax

Practice location:
  • Phone: 561-624-9188
  • Fax:
Mailing address:
  • Phone: 561-624-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number131070
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: