Healthcare Provider Details

I. General information

NPI: 1700879749
Provider Name (Legal Business Name): DANIEL NOAH SACKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3199 LAKE WORTH RD STE B1
PALM SPRINGS FL
33461-3652
US

IV. Provider business mailing address

PO BOX 923
BOYNTON BEACH FL
33425-0923
US

V. Phone/Fax

Practice location:
  • Phone: 561-228-1330
  • Fax: 561-598-7154
Mailing address:
  • Phone: 561-228-1330
  • Fax: 561-598-7154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME80828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: