Provider Demographics
NPI:1124414719
Name:DR RICHARD A SAITTA MD PA
Entity Type:Organization
Organization Name:DR RICHARD A SAITTA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAITTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-260-1723
Mailing Address - Street 1:3310 GRAND CYPRESS DR
Mailing Address - Street 2:UNIT 202
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-7979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3310 GRAND CYPRESS DR
Practice Address - Street 2:UNIT 202
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-7979
Practice Address - Country:US
Practice Address - Phone:305-542-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48065207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty