Provider Demographics
NPI:1578599726
Name:DIAMOND & SACHS DPM PA
Entity Type:Organization
Organization Name:DIAMOND & SACHS DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:BARRETT
Authorized Official - Middle Name:E
Authorized Official - Last Name:SACHS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-473-5900
Mailing Address - Street 1:8320 W SUNRISE BLVD
Mailing Address - Street 2:#213
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322
Mailing Address - Country:US
Mailing Address - Phone:954-473-5900
Mailing Address - Fax:954-424-8276
Practice Address - Street 1:8320 W SUNRISE BLVD
Practice Address - Street 2:#213
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322
Practice Address - Country:US
Practice Address - Phone:954-473-5900
Practice Address - Fax:954-424-8276
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAMOND & SACHS DPM PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-22
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO797213E00000X
FLPO747213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041174400Medicaid
FL041174400Medicaid
T55423Medicare UPIN
FL5802070001Medicare NSC