Provider Demographics
NPI:1811000391
Name:SAVIN, ANDREW L (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:L
Last Name:SAVIN
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 1:8200 S JOG RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2981
Mailing Address - Country:US
Mailing Address - Phone:561-793-4489
Mailing Address - Fax:847-816-3166
Practice Address - Street 1:2465 SR 7
Practice Address - Street 2:SUITE 800
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2981
Practice Address - Country:US
Practice Address - Phone:561-793-4489
Practice Address - Fax:847-816-3166
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120120207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04930281OtherBLUE CROSS BLUE SHIELD
F52518Medicare UPIN
04930281OtherBLUE CROSS BLUE SHIELD
916950Medicare PIN
04930281OtherBLUE CROSS BLUE SHIELD
110233103Medicare PIN