Provider Demographics
NPI:1679654081
Name:SAXE, BETTY W (PT)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:W
Last Name:SAXE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2522
Mailing Address - Country:US
Mailing Address - Phone:561-997-5312
Mailing Address - Fax:561-988-0231
Practice Address - Street 1:3232 WESTMINSTER DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2522
Practice Address - Country:US
Practice Address - Phone:561-997-5312
Practice Address - Fax:561-988-0231
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT2036174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY2273OtherBLUE CROSS BLUE SHIELD
FL00005844248OtherAENTA INSURANCE