Provider Demographics
NPI:1407964075
Name:DANIEL N SACKS MD PA
Entity Type:Organization
Organization Name:DANIEL N SACKS MD PA
Other - Org Name:PALM BEACH-WELLINGTON WOMEN'S CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:NOAH
Authorized Official - Last Name:SACKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-228-1330
Mailing Address - Street 1:PO BOX 923
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33425-0923
Mailing Address - Country:US
Mailing Address - Phone:561-228-1330
Mailing Address - Fax:561-598-7154
Practice Address - Street 1:3199 LAKE WORTH RD STE B1
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-3652
Practice Address - Country:US
Practice Address - Phone:561-228-1330
Practice Address - Fax:561-598-7154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K7978Medicare ID - Type Unspecified