Provider Demographics
NPI:1588611529
Name:SAKS, DAVID ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLAN
Last Name:SAKS
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 1:9859 CLINT MOORE RD
Mailing Address - Street 2:C11-228
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1014
Mailing Address - Country:US
Mailing Address - Phone:561-637-6690
Mailing Address - Fax:
Practice Address - Street 1:9859 CLINT MOORE RD
Practice Address - Street 2:C11-228
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1014
Practice Address - Country:US
Practice Address - Phone:561-637-6690
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME522552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD21146Medicare UPIN
FL07066Medicare ID - Type Unspecified