Provider Demographics
NPI:1114980984
Name:SAFF, GARY N (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:N
Last Name:SAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 N FEDERAL HWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3245
Mailing Address - Country:US
Mailing Address - Phone:954-772-7552
Mailing Address - Fax:954-839-6353
Practice Address - Street 1:5353 N FEDERAL HWY
Practice Address - Street 2:SUITE 301
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-3245
Practice Address - Country:US
Practice Address - Phone:954-772-7552
Practice Address - Fax:954-839-6353
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058781207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268158700Medicaid
FL6449360001Medicare NSC
CZ186AMedicare PIN
FL268158700Medicaid