MEDICARE: DR. DAVID S. SAX 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	207N00000X	Dermatology Physician	ME83474	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	70016313	OTHER	FL	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	593760877	OTHER	FL	TAX ID
2	06331	OTHER	FL	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902808462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S. SAX M.D.

Provider Business Mailing Address
First Line	:	8451 SHADE AVE
Second Line	:	SUITE 205
City	:	SARASOTA
State	:	FL
Zip	:	34243-2878
Country	:	US
Telephone Number	:	941-360-2477
Fax Number	:	941-360-2577

Provider Business Practice Location Address
First Line	:	8451 SHADE AVE
Second Line	:	SUITE 205
City	:	SARASOTA
State	:	FL
Zip	:	34243-2878
Country	:	US
Telephone Number	:	941-360-2477
Fax Number	:	941-360-2577

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	12/17/2021

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Directions to “ DR. DAVID S. SAX M.D.” Practice Location

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