MEDICARE: DANIEL NOAH SACKS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME80828	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700879749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL NOAH SACKS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 923
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33425-0923
Country	:	US
Telephone Number	:	561-228-1330
Fax Number	:	561-598-7154

Provider Business Practice Location Address
First Line	:	3199 LAKE WORTH RD STE B1
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3652
Country	:	US
Telephone Number	:	561-228-1330
Fax Number	:	561-598-7154

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	11/18/2025

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