Healthcare Provider Details

I. General information

NPI: 1649565177
Provider Name (Legal Business Name): METABOLIC AND CARDIOVASCULAR INSTITUTE OF FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 COLUMBIA DR SUITE 108
WEST PALM BEACH FL
33409-1975
US

IV. Provider business mailing address

PO BOX 2651
PALM BEACH FL
33480-2651
US

V. Phone/Fax

Practice location:
  • Phone: 877-395-6731
  • Fax: 561-616-0222
Mailing address:
  • Phone: 561-833-8663
  • Fax: 561-833-8663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License NumberME45344
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberME45344
License Number StateFL

VIII. Authorized Official

Name: DR. SAMUEL H SADOW
Title or Position: PRESIDENT
Credential: M.D.
Phone: 772-233-8183