Healthcare Provider Details

I. General information

NPI: 1912220302
Provider Name (Legal Business Name): DANIEL SACKS LITWIN DACM, LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14841 N FLORIDA AVE
TAMPA FL
33613-1825
US

IV. Provider business mailing address

10020 39TH WAY N
PINELLAS PARK FL
33782-4044
US

V. Phone/Fax

Practice location:
  • Phone: 813-303-0777
  • Fax:
Mailing address:
  • Phone: 631-560-1453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA93722
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP4192
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: