Provider Demographics
NPI:1083623771
Name:SATER, ALLEN SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:SCOTT
Last Name:SATER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6671 W INDIANTOWN RD
Mailing Address - Street 2:SUITE 55
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3991
Mailing Address - Country:US
Mailing Address - Phone:561-747-0331
Mailing Address - Fax:561-747-7047
Practice Address - Street 1:6671 W INDIANTOWN RD
Practice Address - Street 2:SUITE 55
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3991
Practice Address - Country:US
Practice Address - Phone:561-747-0331
Practice Address - Fax:561-747-7047
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 2226213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU29824Medicare UPIN
FL65262ZMedicare PIN