Provider Demographics
NPI:1497080790
Name:GARY SAFF PLLC
Entity Type:Organization
Organization Name:GARY SAFF PLLC
Other - Org Name:INTEGRATED PAIN SOLUTIONS OF SOUTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-288-6605
Mailing Address - Street 1:2320 NE 62ND ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2208
Mailing Address - Country:US
Mailing Address - Phone:954-772-7552
Mailing Address - Fax:954-772-3994
Practice Address - Street 1:2320 NE 62ND ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-2208
Practice Address - Country:US
Practice Address - Phone:954-772-7552
Practice Address - Fax:954-772-3994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058781207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0058781OtherFLORIDA MEDICAL LICENSE NUMBER
FLME0058781OtherFLORIDA MEDICAL LICENSE NUMBER